Organization
BANKWELL RESIDENTIAL COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL M WELLS RN (ADMINISTRATOR)
(727) 906-1034
Entity
Organization
Contact information
Practice address
800 64TH AVE S, SAINT PETERSBURG, FL 33705-5924
(727) 906-1034
Mailing address
800 64TH AVE S, SAINT PETERSBURG, FL 33705-5924
(727) 906-1034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
10/25/2025
Last updated
06/04/2026
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