SPRUCE CREEK ASSISTED LIVING FACILITY INC. NPI 1760894810

NPI Information

NPI: 1760894810
Provider Name: SPRUCE CREEK ASSISTED LIVING FACILITY , INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
260 SPRING FOREST DR
NEW SMYRNA BEACH, FL
ZIP 32168
Phone: (386) 527-3781
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SPRUCE CREEK ASSISTED LIVING FACILITY , INC. is an assisted living facility in New Smyrna Beach, 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. SPRUCE CREEK ASSISTED LIVING FACILITY , INC. NPI is 1760894810. The provider is registered as an organization entity type.

The provider's business location address is:

260 SPRING FOREST DR
NEW SMYRNA BEACH, FL
ZIP 32168-700
Phone: (386) 527-3781

The provider's authorized official is Tamela Sue Owens .
The authorized official title is Administrator and has the following contact phone number (386) 527-3781.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 5/23/2014.

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
1	310400000X	Assisted Living Facility		12422	FLORIDA	Yes

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

NPI Synchronization or Removal

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