Organization
HEALTH SERVICES OF BLUEWATER BAY, LLC
Active
Other names
The Manor at Blue Water Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY DUANE GALLAGHER (MEMBER)
(850) 830-6355
Entity
Organization
Contact information
Practice address
1500 WHITE POINT RD, NICEVILLE, FL 32578-4249
(850) 897-5592
(850) 897-0501
Mailing address
1500 WHITE POINT RD, NICEVILLE, FL 32578-4249
(850) 897-5592
(850) 897-0501
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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