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Organization

PARC INC

Active
Other names
PARC Cottages
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK WAYNE CAVANAUGH (OWNER)
(727) 345-9111
Entity
Organization

Contact information

Practice address
3101 76TH WAY N, ST PETERSBURG, FL 33710-2302
(727) 345-9111
(727) 345-7130
Mailing address
3190 75TH ST N, ST PETERSBURG, FL 33710-2326
(727) 345-9111
(727) 345-7130

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
11/01/2021
Last updated
11/24/2021
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