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Organization

GRAND VILLA OF LARGO

Active
Parent organization
QSH/MID FLORIDA, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
QSH/MID FLORIDA, LLC
Authorized official
STANLEY BRADING (PRESIDENT)
(404) 888-0168
Entity
Organization

Contact information

Practice address
750 STARKEY RD, LARGO, FL 33771-2365
(727) 215-8090
Mailing address
535 N NOVA RD, ORMOND BEACH, FL 32174-4405
(404) 888-0168

Taxonomy

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

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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