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Organization
EVERLASTING GRACE ASSISTED LIVING INC.
Active
Organization
EVERLASTING GRACE ASSISTED LIVING INC.
Active
Other names
Care First
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PIER GASMENA (PRESIDENT)
(863) 595-7353
Entity
Organization
Contact information
Practice address
1325 4TH ST N, ST PETERSBURG, FL 33701-1117
(727) 823-6812
(727) 822-2334
Mailing address
747 BON AIR ST, LAKELAND, FL 33805-4631
(863) 688-1196
(863) 687-7707
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL # 5195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142552800
—
FL
Enumeration date
06/09/2008
Last updated
06/09/2008
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