Scg Palazzo Operator, LLC
NPI #1760519052 in St Augustine, Florida
Provider Information
- NPI Number
- 1760519052
- Entity Type
- Organization
- Organization Name
- Scg Palazzo Operator, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3600 34TH ST SOUTH
- City
- St Augustine
- State
- Florida
- ZIP Code
- 33711
- Phone
- (727) 867-2000
Authorized Official
- Name
- MR. ROBERT DANIEL VAUGHAN
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (770) 255-1810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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