in St Petersburg - Assisted Living Facility

- NPI 1417167420

is a Assisted Living Facility in St Petersburg, Florida. practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for is 1417167420. The last update date is .

's current location address is 302 11th Ave Ne, St Petersburg, Florida. You can contact this provider via phone number 7277426974. The mailing address for is 302 11th Ave Ne, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 302 11th Ave Ne, St Petersburg, Florida
Phone Number 7277426974
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1417167420
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 302 11th Ave Ne
City St Petersburg
State Florida (FL)
Post Code 337011926
Phone Number 7277426974
Fax Number

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No 16
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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