Organization
PVHA/SIMS - GULF BREEZE COURTYARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN DANIEL PARRISH (MANAGER)
(904) 543-1818
Entity
Organization
Contact information
Practice address
3428 GULF BREEZE PKWY, GULF BREEZE, FL 32563-1400
(850) 934-1662
Mailing address
3428 GULF BREEZE PKWY, GULF BREEZE, FL 32563-1400
(850) 934-1662
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL#9976
FL
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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