Organization
COASTAL SENIOR LIVING FACILITY LLC
Active
Other names
Coastal Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHEVELLE JORDAN RN (OWNER)
(727) 417-1723
Entity
Organization
Contact information
Practice address
6024 GOLF AND SEA BLVD, APOLLO BEACH, FL 33572-2628
(813) 213-1291
Mailing address
235 APOLLO BEACH BLVD # 182, APOLLO BEACH, FL 33572-2251
(727) 417-1723
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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