Organization
CHATEAU PALMS MANOR,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PIETRUSZKIEWICZ (ADMINISTRATOR)
(727) 786-8574
Entity
Organization
Contact information
Practice address
1679 TAMPA RD, PALM HARBOR, FL 34683-5651
(727) 786-8574
Mailing address
1679 TAMPA RD, PALM HARBOR, FL 34683-5651
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7973
FL
Other
Enumeration date
06/03/2007
Last updated
08/22/2020
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