Organization
BA LAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEC BAKER MORGAN (MEMBER)
(770) 820-9311
Entity
Organization
Contact information
Practice address
2057 EDGEWATER DR, CLEARWATER, FL 33755-1028
(727) 216-6517
Mailing address
25 CONNER LOOP, RICHMOND HILL, GA 31324-6171
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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