Organization
ADULT HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR SALAS (OWNER ADMISTRATOR)
(727) 748-3514
Entity
Organization
Contact information
Practice address
4760 8TH AVE S, ST PETERSBURG, FL 33711-1810
(727) 321-7446
(813) 935-3192
Mailing address
4760 8TH AVE S, ST PETERSBURG, FL 33711-1810
(727) 321-7446
(813) 935-3192
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12475
FL
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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