NPI | 1215508379 |
---|---|
Doing Business As | BAYSHORE MANOR ASSISTED LIVING FACILITY |
Doing Business As | KEY WEST HMA PHYSICIAN MANAGEMENT LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-07-08 |
Last Update Date | 2022-03-16 |