Organization
PICKETT FENCE MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE BERTHELOT (OWNER)
(727) 742-6974
Entity
Organization
Contact information
Practice address
1662 DR MARTIN LUTHER KING JR ST S, ST PETERSBURG, FL 33701-5701
(727) 742-6974
Mailing address
1662 DR MARTIN LUTHER KING JR ST S, ST PETERSBURG, FL 33701-5701
(727) 742-6974
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7822
FL
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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