Organization · Type 2 NPI

Space Coast Assisted Living LLC

Assisted Living Facility · Titusville, FL

NPI number 1629731591 Active

Practice location

1832 Country Club Dr
Titusville, FL 32780-5346

Call (321) 567-4191 Map

Fax (888) 335-7714

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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.

2 other providers at this address

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About NPI 1629731591

Space Coast Assisted Living LLC's National Provider Identifier is 1629731591, issued on Oct 18, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Titusville, FL. The record was last updated on Oct 18, 2021.