Organization
CINNAMON COVE ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JOHANNUS KRASTER (OWNER/ADMINISTRATOR)
(727) 842-2340
Entity
Organization
Contact information
Practice address
5641 MONTANA AVE, NEW PORT RICHEY, FL 34652-2643
(727) 842-2340
Mailing address
5641 MONTANA AVE, NEW PORT RICHEY, FL 34652-2643
(727) 842-2340
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105788100
—
FL
Enumeration date
04/25/2013
Last updated
07/31/2020
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