Organization
EASTWINDS OF FLORIDA INC.
Active
Other names
AZALEA MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD M. MCKENZIE (ADMINISTRATOR)
(727) 821-8510
Entity
Organization
Contact information
Practice address
112 12TH AVE N, ST PETERSBURG, FL 33701-1826
(727) 821-8510
Mailing address
1725 ROBINHOOD LN, CLEARWATER, FL 33764-6449
(727) 821-8510
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AL5405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687826196
—
FL
Enumeration date
10/24/2007
Last updated
08/19/2016
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