Organization
CHP PANAMA CITY FL TENANT CORP.
Active
Other names
SSUPERIOR RESIDENCES OF PANAMA CITY BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WALKER (CFO, SRIM)
(850) 583-7990
Entity
Organization
Contact information
Practice address
95 GRAND HERON DR, PANAMA CITY BEACH, FL 32407-2553
(850) 434-3232
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
—
113534700
—
FL
Enumeration date
10/20/2022
Last updated
10/20/2022
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