Organization
PEMBROOK PLACE ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTRELLA MONTECLARO (PRESIDENT)
(727) 536-5865
Entity
Organization
Contact information
Practice address
2331 PEMBROOK DR, CLEARWATER, FL 33764-6548
(727) 536-5865
Mailing address
2331 PEMBROOK DR, CLEARWATER, FL 33764-6548
(727) 536-5865
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5933
FL
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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