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Organization

ALCOVE RETIREMENT CENTER III

Active
Other names
Alcove Assisted Living Facility
Organization subpart
No

Provider details

NPI number
Authorized official
NELLY MCNULTY (OWNER/ADMINISTRATOR)
(727) 898-0560
Entity
Organization

Contact information

Practice address
2801 4TH ST N, ST PETERSBURG, FL 33704
(727) 898-0560
(727) 895-1155
Mailing address
2801 4TH ST N, ST PETERSBURG, FL 33704
(727) 898-0560
(727) 895-1155

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL6511
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140082700
FL
05
685933000
FL
Enumeration date
10/27/2010
Last updated
09/26/2014
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