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Organization
ST. PETERSBURG OPERATOR LLC
Active
Organization
ST. PETERSBURG OPERATOR LLC
Active
Other names
Brentwood Senior Living at St. Pete
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ASSIRAN (FINANCIAL OFFICER)
(410) 427-2669
Entity
Organization
Contact information
Practice address
6280 CENTRAL AVE, ST PETERSBURG, FL 33707-1429
(727) 954-7015
Mailing address
6300 BLAIR HILL LN FL 4, BALTIMORE, MD 21209-2042
(410) 427-2669
(727) 289-7096
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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