DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPACE COAST ASSISTED LIVING LLC

Active Organization

SPACE COAST ASSISTED LIVING LLC is a Assisted Living Facility organization located in MELBOURNE, Florida. NPI 1629343470 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · MELBOURNE, FL

Registration Details

NPI Number
1629343470
Provider Type
Organization
NPI Issued
Mar 13, 2012 (14.241894794251 yrs)
Last Updated
Mar 13, 2012
License
11611 (FL)

Practice Information

Address
3366 PENINSULA CIR
MELBOURNE, FL, 329401107
Browse FL providers · Browse ZIP 32940
Phone
3216108323
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.