Grand Boulevard Operating Investments LLC
NPI #1386398501 in Miramar Beach, Florida
Provider Information
- NPI Number
- 1386398501
- Entity Type
- Organization
- Organization Name
- Grand Boulevard Operating Investments LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 7, 2022
- Last Updated
- Feb 7, 2022
Practice Location
- Address
- 138 SANDESTIN LN
- City
- Miramar Beach
- State
- Florida
- ZIP Code
- 32550-5815
- Phone
- (954) 300-3878
Authorized Official
- Name
- MR. JACOB BENGIO
- Title
- CFO
- Phone
- (954) 300-3878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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