Organization
TECTRUST INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS BERLANTI (ADMINISTRATOR)
(727) 823-2139
Entity
Organization
Contact information
Practice address
434 4TH ST N, ST PETERSBURG, FL 33701-2804
(727) 823-2139
(727) 823-2184
Mailing address
434 4TH ST N, ST PETERSBURG, FL 33701-2804
(727) 823-2139
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL9
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140061400
—
FL
Enumeration date
01/30/2014
Last updated
11/10/2014
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