Organization
BANKWELL SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL MARIA BANKS RN (OWNER/ADMINISTRATOR)
(727) 906-1034
Entity
Organization
Contact information
Practice address
3434 54TH AVE SOUTH, ST PETERSBURG, FL 33711-4751
(727) 906-1034
Mailing address
2620 54TH AVE S APT 52, ST PETERSBURG, FL 33712-4751
(727) 906-1034
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
06/10/2020
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