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SCG CORAL LANDING LLC NPI 1023145380


NPI Information

NPI: 1023145380
Provider Name: SCG CORAL LANDING, LLC

Doing Business As: CORAL LANDING ASSISTED LANDING RESIDENCES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2820 OLD MOULTRIE RD
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 794-2273
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SCG CORAL LANDING, LLC is an assisted living facility in St Augustine, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SCG CORAL LANDING, LLC NPI is 1023145380. The provider is registered as an organization entity type.
The provider Is Doing Business As Coral Landing Assisted Landing Residences.

The provider's business location address is:

2820 OLD MOULTRIE RD
ST AUGUSTINE, FL
ZIP 32086-454
Phone: (904) 794-2273
Fax: (904) 794-2267

The provider's authorized official is Robert Daniel Vaughan .
The authorized official title is Director Of Operations and has the following contact phone number (770) 255-1810.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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