Organization
LONGLEAF ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAPAN B PATEL ADMIN (MANAGER)
(727) 289-5783
Entity
Organization
Contact information
Practice address
3935 43RD AVE N, SAINT PETERSBURG, FL 33714-3620
(727) 289-5783
Mailing address
3935 43RD AVE N, SAINT PETERSBURG, FL 33714-3620
(727) 289-5783
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AL12564
FL
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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