Organization
CANYON GROVE LLC
Active
Other names
Angel Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHLOMO GREENSTEIN (MEMBER)
(718) 256-1905
Entity
Organization
Contact information
Practice address
4301 31ST ST S, ST PETERSBURG, FL 33712-4053
(727) 867-1300
Mailing address
2376 60TH ST STE 2, BROOKLYN, NY 11204-2633
(718) 256-1905
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
03/29/2019
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