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Organization
UPSIDE LIVING
Active
Organization
UPSIDE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL PARCENUE HOLMES PARAMEDIC (PARTNER/ OPERATOR)
(727) 492-2237
Entity
Organization
Contact information
Practice address
2119 LITTLE BROOK LN, CLEARWATER, FL 33763-2416
(727) 492-2237
Mailing address
2119 LITTLE BROOK LN, CLEARWATER, FL 33763-2416
(727) 492-2237
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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