Organization
FL HUD DESTIN, LLC
Active
Parent organization
HUD FACILITIES, LLC
Other names
Grand Boulevard Health & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUD FACILITIES, LLC
Authorized official
JAMES RICHARDSON (PRESIDENT)
(850) 430-0000
Entity
Organization
Contact information
Practice address
138 SANDESTIN LANE, MIRAMAR BEACH, FL 32550-5899
(850) 267-3718
Mailing address
40 PALAFOX PL, SUITE 400, PENSACOLA, FL 32502-5697
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/11/2008
Last updated
09/29/2015
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