Organization · Type 2 NPI

Space Coast Assisted Living LLC

Assisted Living Facility · Melbourne, FL

NPI number 1629343470 Active

Practice location

3366 Peninsula Cir
Melbourne, FL 32940-1107

Call (321) 610-8323 Map

Mailing address

9060 S Tropical Trl
Merritt Island, FL 32952-6803

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X11611 (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 1629343470

Space Coast Assisted Living LLC's National Provider Identifier is 1629343470, issued on Mar 13, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Melbourne, FL. The record was last updated on Mar 13, 2012.