St Augustine Fl Opco LLC

NPI #1528712643 in St Augustine, Florida

Provider Information

NPI Number
1528712643
Entity Type
Organization
Organization Name
St Augustine Fl Opco LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 8, 2022
Last Updated
Feb 8, 2022

Practice Location

Address
161 MARINE ST
State
Florida
ZIP Code
32084-5154
Phone
(904) 829-3475

Authorized Official

Name
BATYA GORELICK
Title
COO
Phone
(904) 829-3475

Specialties & Taxonomy Codes

Specialty
Respite Care
Skilled Nursing Facility
Assisted Living Facility

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