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Selah-gulf Breeze Courtyard, Llc
Assisted Living Facility in Gulf Breeze, Florida
NPI 1538594577

Selah-gulf Breeze Courtyard, Llc is an Assisted Living Facility based in Gulf Breeze, FL. Selah-gulf Breeze Courtyard, Llc practices in Gulf Breeze, FL. The NPI Number for Selah-gulf Breeze Courtyard, Llc is 1538594577 and holds a License No. AL9976 (Florida).

The current practice location address for Selah-gulf Breeze Courtyard, Llc is 3428 Gulf Breeze Pkwy, Gulf Breeze, FL and can be reached out via phone at 850-934-1662 and via fax at 850-934-4218.

Location: 3428 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563-1400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538594577
Provider Name
Selah-gulf Breeze Courtyard, Llc
Credential
Provider Entity Type
Organization
Address
3428 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563-1400
Phone Number
850-934-1662
Fax Number
850-934-4218
Provider Enumeration Date
09/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7618 01 FL WORLDNET - MEDICAID DIVERSION PROGRAM
003102500 01 FL MEDICAID WAIVER PROGRAM
109168 01 FL AMERICAN ELDERCARE - MEDICAID DIVERSION PROGRAM
institution
Provider Business Practice Location Address Details
Address
3428 Gulf Breeze Pkwy
City
Gulf Breeze
State
Florida
Zip
32563-1400
Phone Number
850-934-1662
Fax Number
850-934-4218
person
Provider Business Mailing Address Details
Address
3428 Gulf Breeze Pkwy
City
Gulf Breeze
State
Florida
Zip
32563-1400
Phone Number
850-934-1662
Fax Number
850-934-4218
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL9976 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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