# MERONA GREY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528404928
- **Authorized official:** MERONA GREY (PROVIDER)
- **Authorized official phone:** (941) 235-3216

## Contact information

- **Practice address:** 23167 WILKINSON AVE, PORT CHARLOTTE, FL 33980-5865
- **Practice address phone:** (941) 235-3216
- **Mailing address:** 23167 WILKINSON AVE, PORT CHARLOTTE, FL 33980-5865
- **Mailing address phone:** (941) 235-3216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906531 | FL | Yes |

## Other

- **Enumeration date:** 05/13/2013
- **Last updated:** 05/13/2013