Organization
H-BAY MINISTRIES, INC.
Active
Other names
Superior Residences of Brandon Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WALKER CPA (CFO)
(850) 583-7990
Entity
Organization
Contact information
Practice address
1819 PROVIDENCE RIDGE BLVD, BRANDON, FL 33511-1899
(813) 657-8587
Mailing address
2528 BARRINGTON CIR # 2, TALLAHASSEE, FL 32308-3888
(850) 583-7990
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024979900
—
FL
01
—
9739
FLORIDA AHCA LICENSE NUMBER
FL
Enumeration date
05/10/2018
Last updated
02/06/2019
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