Organization
BON SECOURS - MARIA MANOR NURSING CARE CENTER LLC
Active
Parent organization
BON SECOURS HEALTH SYSTEMS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOURS HEALTH SYSTEMS, INC.
Authorized official
KIMBERLY RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
10300 4TH ST NORTH, ST PETERSBURG, FL 33716-3810
(727) 568-1000
(727) 568-1088
Mailing address
10300 4TH ST NORTH, ST. PETERSBURG, FL 33716-3810
(727) 568-1000
(727) 568-1088
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1055096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020010700
—
FL
Enumeration date
10/03/2005
Last updated
11/03/2020
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