Organization
GAHC4 BAYSIDE FL TRS SUB, LLC
Active
Other names
Bayside Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
9381 US HIGHWAY 19 N, PINELLAS PARK, FL 33782-5410
(727) 491-5466
Mailing address
18191 VON KARMAN AVE STE 300, IRVINE, CA 92612-7106
(949) 270-9200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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