Organization
ADRIAN MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALDENE FORDE (ADMINISTRATOR)
(727) 896-4515
Entity
Organization
Contact information
Practice address
2168 9TH AVE N, ST PETERSBURG, FL 33713-7134
(727) 328-1348
(727) 824-6364
Mailing address
2168 9TH AVE N, ST PETERSBURG, FL 33713-7134
(727) 328-1348
(727) 824-6364
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10857
FL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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