Beacon By The Bay LLC
Assisted Living Facility in Port St Joe, FL. Organization (NPI-2).
NPI number1487941399
StatusActive
Last updated in NPPESJun 30, 2011
Details
- NPI
- 1487941399
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon By The Bay LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2011
- Last updated
- Jun 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL10713 | FL | Yes |
Other names
- Beacon Villa Retirement Center (Other Name)
Practice location
141 Kaelyn LnPort St Joe, FL 32456-6180
Phone 850-647-4000 · Fax 850-647-4004
Mailing address
141 Kaelyn LnPort St Joe, FL 32456-6180
Phone 850-647-4000 · Fax 850-647-4004
Authorized official
Liza Rojas
Manager
8506474000
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