Individual
FRANCIS ALBERTO RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 MAGNOLIA RD, VENICE, FL 34293-5743
(941) 412-4092
(941) 220-7352
Mailing address
350 MAGNOLIA RD, VENICE, FL 34293-5743
(941) 412-4092
(941) 220-7352
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12776
FL
311ZA0620X
Adult Care Home Facility
12776
FL
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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