Organization
MURIEL MANOR ASSISTED LIVING FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYNELLE J FORDE (PRESIDENT)
(727) 564-6556
Entity
Organization
Contact information
Practice address
3200 66TH ST N, ST PETERSBURG, FL 33710-1511
(727) 564-6556
Mailing address
2700 STATE ROAD 590, CLEARWATER, FL 33759-2319
(727) 564-6556
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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