Organization
BLOOM AT ST. PETERSBURG, LLC
Active
Other names
Bloom at St. Pete
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KANTOR (PRESIDENT)
(248) 642-2914
Entity
Organization
Contact information
Practice address
6775 40TH AVE N, ST PETERSBURG, FL 33709-4939
(727) 800-6000
Mailing address
260 E BROWN ST STE 315, BIRMINGHAM, MI 48009-6232
12486422914
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/22/2017
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