Organization
A CASA MANGO ALF
Active
Parent organization
LORON INNOVATIONS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LORON INNOVATIONS, LLC
Authorized official
MRS. CAROL L RIPPLE PA-C (OWNER/ VICE PRESIDENT)
(727) 422-8718
Entity
Organization
Contact information
Practice address
6800 MANGO AVE S, ST PETERSBURG, FL 33707-2110
(727) 345-4541
Mailing address
6800 MANGO AVE S, ST PETERSBURG, FL 33707-2110
(727) 345-4541
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 12273
FL
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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