| NPI | 1386258218 |
|---|---|
| Doing Business As | BEACHSIDE LIVING LLC |
| Entity Type | Organization |
| Authorized Contact | AMPARO DIERKING Owner 954-274-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |