Organization
BAY PORT ASSISTED LIVING INC.
Active
Other names
BAY PORT OF FORT WALTON BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WALKER (CFO)
(850) 583-7990
Entity
Organization
Contact information
Practice address
243 HOLLYWOOD BLVD NW, FORT WALTON BEACH, FL 32548-4783
(850) 601-9157
Mailing address
2573 BARRINGTON CIR, TALLAHASSEE, FL 32308-6805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114167800
—
FL
Enumeration date
10/20/2022
Last updated
10/20/2022
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