Organization
ANCHORAGE CHILDREN'S HOME OF BAY COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANTHONT MAZUR (CFO)
(850) 763-7102
Entity
Organization
Contact information
Practice address
2121 LISENBY AVE, PANAMA CITY, FL 32405-2910
(850) 763-7102
(850) 769-0855
Mailing address
2121 LISENBY AVE, PANAMA CITY, FL 32405-2910
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
010851
FL
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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