Organization
COQUINA COVE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CLINE RN (ADMINISTRATOR)
(386) 451-5923
Entity
Organization
Contact information
Practice address
3739 SUNRISE OAKS DR, PORT ORANGE, FL 32129-8651
(386) 265-4732
Mailing address
3739 SUNRISE OAKS DR, PORT ORANGE, FL 32129-8651
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9574
FL
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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