Organization
EMERALD COAST ADULT DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD GROSSKOPF (OWNER/MANAGER)
(850) 417-6308
Entity
Organization
Contact information
Practice address
983 AIRPORT RD, DESTIN, FL 32541-2835
(850) 460-2929
(850) 460-2952
Mailing address
983 AIRPORT RD, DESTIN, FL 32541-2835
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
9277
FL
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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