Bay Area Healthcare Alliance LLC

NPI #1700667383 in Ruskin, Florida

Provider Information

NPI Number: 1700667383
Entity Type: Organization
Organization Name: Bay Area Healthcare Alliance LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 10, 2023
Last Updated: Oct 10, 2023

Practice Location

Address: 2105 ROANOKE SPRINGS DR
City: Ruskin
State: Florida
ZIP Code: 33570-6312
Phone: (813) 938-0040

Authorized Official

Name: DESHAE MARTIN
Title: CHIEF EXECUTIVE OFFICER
Phone: (813) 938-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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