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1629731591
SPACE COAST ASSISTED LIVING LLC
TITUSVILLE, FL
NPI
1629731591
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Entity Type
Organization
Authorized Contact
MARIE M AUGUSTE
Owner
561-503-3719
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
SPACE COAST ASSISTED LIVING LLC
1832 COUNTRY CLUB DR
TITUSVILLE, FL 32780-5346
Phone number: 321-567-4191
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Mailing Address
SPACE COAST ASSISTED LIVING LLC
1832 COUNTRY CLUB DR
TITUSVILLE, FL 32780-5346
Phone number: 321-567-4191
Copy
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