Organization
RUSHAN CORPORATION
Active
Other names
Berryhill Manor Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY STACEY (ADMINISTRATOR)
(850) 623-6550
Entity
Organization
Contact information
Practice address
5544 SWANNER RD, MILTON, FL 32570-4069
(850) 623-6550
Mailing address
5544 SWANNER RD, MILTON, FL 32570-4069
(850) 623-6550
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALF 9519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140175100
—
FL
05
—
678441100
—
FL
05
—
689445300
—
FL
Enumeration date
06/12/2008
Last updated
06/12/2008
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