Organization · NPI-2

Ba Land, LLC

Assisted Living Facility · Clearwater, FL

NPI number1750815775
StatusActive
Last updated in NPPESApr 17, 2017

Details

NPI
1750815775
Entity type
Organization (NPI-2)
Legal business name
Ba Land, LLC
Organization subpart
No
Enumeration date
Apr 17, 2017
Last updated
Apr 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

2057 Edgewater Dr
Clearwater, FL 33755-1028

Phone 727-216-6517

Mailing address

25 Conner Loop
Richmond Hill, GA 31324-6171

Authorized official

Alec Baker Morgan
Member
7708209311

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