CRESCENT BEACH CARE LLC

ST AUGUSTINE, FL
NPI1033451380
Entity TypeOrganization
Authorized ContactADRIAN S. LONG
Owner/Member Managed
904-342-7363
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2013-03-25
Last Update Date2025-12-04
Business Address
CRESCENT BEACH CARE LLC
6573 A1A SOUTH
ST AUGUSTINE, FL 32080
Phone number: 904-342-7363
Mailing Address
CRESCENT BEACH CARE LLC
6573 A1A SOUTH
ST AUGUSTINE, FL 32080
Phone number: 904-342-7363