Organization
MIDWAY MANOR ALF INC
Active
Other names
Midway Manor Retirement Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBIE DIEHL (ADMINISTRATOR)
(727) 586-1969
Entity
Organization
Contact information
Practice address
1754 ENSLEY AVE, CLEARWATER, FL 33756-7221
(727) 526-1969
Mailing address
1754 ENSLEY AVE, CLEARWATER, FL 33756-7221
(727) 526-1969
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8632
FL
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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