Provider Demographics
NPI:1649693912
Name:ROBINSON ALF BSLC LLC
Entity type:Organization
Organization Name:ROBINSON ALF BSLC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-806-7007
Mailing Address - Street 1:11921 CARUSO DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-2927
Mailing Address - Country:US
Mailing Address - Phone:850-871-6555
Mailing Address - Fax:850-874-0028
Practice Address - Street 1:11921 CARUSO DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-2927
Practice Address - Country:US
Practice Address - Phone:850-871-6555
Practice Address - Fax:850-874-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility