Organization
LIFESPACE COMMUNITIES INC
Active
Parent organization
LIFESPACE COMMUNITIES INC
Other names
Abbey Delray
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPACE COMMUNITIES INC
Authorized official
SCOTT HARRISON (PRESIDENT/CEO)
(515) 288-5805
Entity
Organization
Contact information
Practice address
2000 LOWSON BLVD, DELRAY BEACH, FL 33445-6008
(561) 454-2007
(561) 454-2033
Mailing address
2000 LOWSON BLVD, DELRAY BEACH, FL 33445-6008
(561) 454-2007
(561) 454-2033
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1201096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020574500
—
FL
01
—
K57
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
05/25/2006
Last updated
05/04/2010
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