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Organization
WATERMARK BOCA CIEGA BAY, LLC
Active
Organization
WATERMARK BOCA CIEGA BAY, LLC
Active
Other names
The Inn at the Fountains
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRESHWATER (VP, ASST TREASURER, ASST SECRETARY)
(520) 797-4000
Entity
Organization
Contact information
Practice address
1255 PASADENA AVE S, SOUTH PASADENA, FL 33707-6203
(727) 381-5411
Mailing address
1255 PASADENA AVE S, SOUTH PASADENA, FL 33707-6203
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL83
FL
Other
Enumeration date
03/03/2014
Last updated
07/16/2015
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