Organization
GV NEW PORT RICHEY, LLC
Active
Other names
Grand Villa of New Port Richey
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY SIZEMORE (OPERATIONS COORDINATOR)
(727) 726-3980
Entity
Organization
Contact information
Practice address
6120 CONGRESS ST, NEW PORT RICHEY, FL 34653-3909
(727) 848-3617
(727) 846-9288
Mailing address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
(727) 726-5345
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL# 4832
FL
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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