Organization
BIMINI MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA KELLER (OWNER)
(727) 458-6621
Entity
Organization
Contact information
Practice address
3791 67TH AVE N, PINELLAS PARK, FL 33781-6174
(727) 458-6621
Mailing address
3791 67TH AVE N, PINELLAS PARK, FL 33781-6174
(727) 458-6621
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10566
FL
Other
Enumeration date
04/18/2011
Last updated
03/17/2014
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