Organization
CORAL BAY AT PENSACOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ZYTMAN (MANAGING PARTNER)
(908) 312-1423
Entity
Organization
Contact information
Practice address
600 W GREGORY ST, PENSACOLA, FL 32502-4744
(850) 434-8071
Mailing address
250 CEDARBRIDGE AVE STE 290, LAKEWOOD, NJ 08701-4236
(908) 312-1423
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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