Organization
GV ST. PETE, LLC
Active
Other names
Grand Villa of St. Petersburg
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE WILLIAMSON (OPERATIONS MANAGER)
(727) 726-3980
Entity
Organization
Contact information
Practice address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
Mailing address
3600 34TH ST S, SAINT PETERSBURG, FL 33711-3800
(727) 350-5830
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12561
FL
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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