Bay Area Healthcare Alliance LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ruskin, FL. Organization (NPI-2).
NPI number1700667383
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1700667383
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Area Healthcare Alliance LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2023
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
2105 Roanoke Springs DrRuskin, FL 33570-6312
Phone 813-938-0040
Mailing address
2105 Roanoke Springs DrRuskin, FL 33570-6312
Phone 813-938-0040
Authorized official
Deshae Martin
Chief Executive Officer
8139380040
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