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Organization

GERI CARE ASSISTED LIVING AND REHABILITATION CENTER

Active
Other names
Beacon Hill Therapy and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
CHAUNCEY BELSER PT (COO)
(850) 674-7639
Entity
Organization

Contact information

Practice address
180 LIGHTKEEPERS DR, PORT ST JOE, FL 32456-6173
(850) 647-2600
(850) 647-3624
Mailing address
17352 MAIN ST N, BLOUNTSTOWN, FL 32424-1763
(850) 674-7639
(850) 674-4305

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
421
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890143100
FL
Enumeration date
10/15/2007
Last updated
05/23/2011
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