Organization
ROBERT J STORERLLI
Active
Other names
adult family care home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH STORELLI (PROVIDER)
(727) 842-8701
Entity
Organization
Contact information
Practice address
9915 AETNA LN, PORT RICHEY, FL 34668-4058
(727) 842-8701
(727) 849-5513
Mailing address
9915 AETNA LN, PORT RICHEY, FL 34668-4058
(727) 842-8701
(727) 849-5513
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141895500
—
FL
Enumeration date
12/27/2010
Last updated
12/27/2010
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