141 Beacon Operator LLC

NPI #1568014991 in Port St Joe, Florida

Provider Information

NPI Number
1568014991
Entity Type
Organization
Organization Name
141 Beacon Operator LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 16, 2019
Last Updated
Feb 4, 2020

Practice Location

Address
141 KAELYN LN
State
Florida
ZIP Code
32456-6180
Phone
(850) 647-4000

Authorized Official

Name
LUAN MORROW
Title
EXECUTIVE DIRECTOR
Phone
(941) 320-4210

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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