Gahc4 Bayside Fl Trs Sub, LLC
NPI #1184143380 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1184143380
- Entity Type
- Organization
- Organization Name
- Gahc4 Bayside Fl Trs Sub, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 19, 2017
- Last Updated
- Sep 19, 2017
Practice Location
- Address
- 9381 US HIGHWAY 19 N
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33782-5410
- Phone
- (727) 491-5466
Authorized Official
- Name
- DANNY PROSKY
- Title
- PRESIDENT
- Phone
- (949) 270-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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