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Organization

SONATA VERO BEACH LLC

Active
Parent organization
S-H THIRTY-FIVE OPCO - VERO BEACH, LLC
Other names
SONATA VERO BEACH, S-H THIRTY-FIVE OPCO VERO BEACH LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
S-H THIRTY-FIVE OPCO - VERO BEACH, LLC
Authorized official
BRENT ATWELL (EXECUTIVE DIRECTOR)
(772) 770-2401
Entity
Organization

Contact information

Practice address
2425 20TH ST, VERO BEACH, FL 32960-6615
(772) 770-2401
(772) 770-0313
Mailing address
2425 20TH ST, VERO BEACH, FL 32960-6615
(772) 770-2401
(772) 770-0313

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20-8672070
FL
Enumeration date
08/21/2018
Last updated
08/21/2018
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