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Organization

BAHAMA BAY CLUB LLC

Active
Other names
Bahama Bay Club
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD SHENK (COO)
(386) 216-4141
Entity
Organization

Contact information

Practice address
3441 W 1ST ST, SANFORD, FL 32771-1697
(321) 363-3633
Mailing address
3441 W 1ST ST, SANFORD, FL 32771-1697

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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