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Organization

SMITH HEALTH CARE PROPERTIES - CLEARWATER

Active
Other names
Edgewater Retirement Manor
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN A SMITH IV (MANAGING MEMBER)
(310) 989-7992
Entity
Organization

Contact information

Practice address
2057 EDGEWATER DR, CLEARWATER, FL 33755-1028
(727) 216-6517
(727) 442-1399
Mailing address
2057 EDGEWATER DR, CLEARWATER, FL 33755-1028
(727) 216-6517
(727) 442-1399

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5149
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000565700
FL
Enumeration date
02/04/2014
Last updated
02/04/2014
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