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Organization

MARYDALE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BING G SANTIANO (PRESIDENT)
(727) 642-6900
Entity
Organization

Contact information

Practice address
1743 SHARONDALE DR, CLEARWATER, FL 33755-2339
(727) 461-5907
Mailing address
1743 SHARONDALE DR, CLEARWATER, FL 33755-2339
(727) 461-5907

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5035
FL

Other

Enumeration date
10/01/2013
Last updated
10/01/2013
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