Organization
GV ENGLEWOOD, LLC
Active
Other names
Grand Villa of Englewood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS FORTE (AUTHORIZED AGENT)
(727) 726-3980
Entity
Organization
Contact information
Practice address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
Mailing address
925 S RIVER RD, ENGLEWOOD, FL 34223-3909
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5501
FL
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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