Organization
AMELIA ASSISTED LIVING FACILITY, INC
Active
Other names
Amelia ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. L RENE BIRD LPN (OWNER/PRESIDENT)
(813) 943-5380
Entity
Organization
Contact information
Practice address
2135 40TH AVE N, ST PETERSBURG, FL 33714-4124
(813) 943-5380
Mailing address
12219 SWAYING MOSS CIR, RIVERVIEW, FL 33569-4718
(813) 943-5380
(813) 354-4839
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
1052
FL
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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