National Provider Identifier Database

SCG PALAZZO OPERATOR LLC
Assisted Living Facility

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.


Contact Information

SCG PALAZZO OPERATOR, LLC
3600 34TH ST SOUTH
SAINT AUGUSTINE, FL33711
Phone: 727-867-2000
Fax: 727-867-2398
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for SCG PALAZZO OPERATOR, LLC

NPI Number 1760519052
Legal business name
LBN
SCG PALAZZO OPERATOR, LLC
Authorized official ROBERT VAUGHAN - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 02/27/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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