Blc Wellington-Sea, LLC
NPI #1013073774 in Ormond Beach, Florida
Provider Information
- NPI Number
- 1013073774
- Entity Type
- Organization
- Organization Name
- Blc Wellington-Sea, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 1050 OCEAN SHORE BLVD
- City
- Ormond Beach
- State
- Florida
- ZIP Code
- 32176-4126
- Phone
- (386) 441-1771
Authorized Official
- Name
- MARK OHLENDORF
- Title
- CO-PRESIDENT
- Phone
- (414) 918-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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