Organization
COQUINA COTTAGE 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
806 CHICAGO AVE, SOUTH DAYTONA, FL 32119-1814
(386) 492-7785
Mailing address
806 CHICAGO AVE, SOUTH DAYTONA, FL 32119-1814
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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