NPI | 1083228332 |
---|---|
Doing Business As | BEACHSIDE LIVING LLC |
Entity Type | Organization |
Authorized Contact | AMPARO M DIERKING Administrator 954-274-5573 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
Enumeration Date | 2020-09-03 |
Last Update Date | 2021-03-18 |