Organization
MENORAH MANOR, INC
Active
Other names
Irv Weissman Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA PERRYMAN (CFO)
(727) 302-3702
Entity
Organization
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 302-3702
(727) 345-3957
Mailing address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 302-3702
(727) 345-3957
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
8869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014305500
—
FL
Enumeration date
01/25/2016
Last updated
02/26/2016
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