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Organization

FLORIDA HHC CORP.

Active
Other names
Martha's Retirement Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRENDA JOYCE ROEGELE (PRESIDENT/ADMINISTRATOR)
(727) 522-4439
Entity
Organization

Contact information

Practice address
3586 53RD AVE N, SAINT PETERSBURG, FL 33714-2412
(727) 522-4439
(727) 521-9520
Mailing address
10542 51ST TER N, SAINT PETERSBURG, FL 33708-3308
(727) 391-2909
(727) 391-2909

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5336
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1405586-00
FL
05
680926-00
FL
Enumeration date
04/19/2006
Last updated
08/15/2008
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