Organization
CHESTNUT BAY ASSISTED LIVING FACILITIES
Active
Other names
Chestnut Bay Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKENYA JACOBS (OWNER/ADMINISTRATION)
(321) 626-0930
Entity
Organization
Contact information
Practice address
937 COMMERCE RD SE, PALM BAY, FL 32909-4732
(321) 626-0930
Mailing address
937 COMMERCE RD SE, PALM BAY, FL 32909-4732
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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