Organization
ST. PETERSBURG OPERATOR LLC
Active
Other names
Brentwood Senior Living at St. Pete
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ASSIRAN (FINANCIAL OFFICER)
(410) 427-2669
Entity
Organization
Contact information
Practice address
6280 CENTRAL AVE, ST PETERSBURG, FL 33707-1429
(727) 954-7015
Mailing address
6300 BLAIR HILL LN FL 4, BALTIMORE, MD 21209-2042
(410) 427-2669
(727) 289-7096
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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