# IMPERIAL LIVNG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Imperial Livng Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215568985
- **Authorized official:** MS. NISA N CARABALLO (COO)
- **Authorized official phone:** (727) 512-8465

## Contact information

- **Practice address:** 2820 39TH AVE N, ST PETERSBURG, FL 33714-4524
- **Practice address phone:** (727) 657-5767
- **Mailing address:** 2820 39TH AVE N, ST PETERSBURG, FL 33714-4524
- **Mailing address phone:** (727) 657-5767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/30/2020
- **Last updated:** 01/30/2020