Organization
BVM CORAL LANDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GUION (DIRECTOR OF TREASURY MANAGEMENT)
(317) 806-6775
Entity
Organization
Contact information
Practice address
2820 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5454
(904) 794-2273
Mailing address
2820 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5454
(904) 794-2273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105492100
—
FL
Enumeration date
02/03/2015
Last updated
03/09/2020
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