Organization
C AND M HEALTHCARE CORP.
Active
Other names
Countryside Haven ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARIDAD O PE PHYSICIAN ASSISTANT (ADMINISTRATOR)
(727) 786-8461
Entity
Organization
Contact information
Practice address
6960 COUNTY ROAD 95, PALM HARBOR, FL 34684-4403
(727) 786-8461
(727) 784-0425
Mailing address
6960 COUNTY ROAD 95, PALM HARBOR, FL 34684-4403
(727) 786-8461
(727) 784-0425
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
682835300
—
FL
Enumeration date
05/09/2007
Last updated
07/14/2008
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