| NPI | 1790383164 |
|---|---|
| Doing Business As | CHESTNUT BAY ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | LAKENYA JACOBS Owner/Administration 321-626-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |