Organization
BAYSIDE TERRACE SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN TAPP (REGIONAL DIRECTOR OF OPERATIONS)
(727) 418-3148
Entity
Organization
Contact information
Practice address
9381 US HIGHWAY 19 N, PINELLAS PARK, FL 33782-5410
(727) 576-1234
Mailing address
5801 ULMERTON RD STE 200, CLEARWATER, FL 33760-3951
(727) 683-1200
(727) 462-9902
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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