Provider Demographics
NPI:1477723849
Name:BP ASSISTED LIVING, INC
Entity Type:Organization
Organization Name:BP ASSISTED LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HERRAWATTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSARAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-844-6127
Mailing Address - Street 1:906 36TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-4704
Mailing Address - Country:US
Mailing Address - Phone:561-844-6127
Mailing Address - Fax:561-844-6127
Practice Address - Street 1:906 36TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-4704
Practice Address - Country:US
Practice Address - Phone:561-844-6127
Practice Address - Fax:561-844-6127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-02
Last Update Date:2008-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9179310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility