Organization
INTEGRAS THERAPY AND WELLNESS CENTERS INC.
Active
Other names
Beacon Villa Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUNCEY L BELSER PT (COO)
(850) 674-7639
Entity
Organization
Contact information
Practice address
141 KAELYN LN, PORT ST JOE, FL 32456-6180
(850) 647-4000
(850) 674-4004
Mailing address
17352 MAIN ST N, BLOUNTSTOWN, FL 32424-1763
(850) 674-7639
(850) 674-4305
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000451700
—
FL
Enumeration date
08/10/2011
Last updated
08/10/2011
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