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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 Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for SCG PALAZZO OPERATOR, LLC

NPI # 1760519052
LBN Legal business name SCG PALAZZO OPERATOR, LLC
Authorized official ROBERT VAUGHAN - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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