Organization · Type 2 NPI
Spruce Creek Assisted Living ,llc
Assisted Living Facility · Ormond Beach, FL
NPI number
1285165233
Active
Practice location
762 Cobblestone Way
Ormond Beach, FL 32174-1026
Mailing address
5953 Broken Bow Ln
Port Orange, FL 32127-7581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 12422 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1285165233
Spruce Creek Assisted Living ,llc's National Provider Identifier is 1285165233, issued on Mar 22, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Ormond Beach, FL. The record was last updated on Mar 22, 2017.