Organization
CHP GULF BREEZE FL TENANT CORP
Active
Other names
The Beacon at Gulf Breeze
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WALKER (CFO)
(850) 583-7990
Entity
Organization
Contact information
Practice address
4410 GULF BREEZE PKWY, GULF BREEZE, FL 32563-8130
(850) 378-3432
Mailing address
2528 BARRINGTON CIR STE 2, TALLAHASSEE, FL 32308-3888
(850) 583-7990
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102061400
—
FL
Enumeration date
03/05/2019
Last updated
03/25/2024
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