Organization
MERONA GREY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERONA GREY (PROVIDER)
(941) 235-3216
Entity
Organization
Contact information
Practice address
23167 WILKINSON AVE, PORT CHARLOTTE, FL 33980-5865
(941) 235-3216
Mailing address
23167 WILKINSON AVE, PORT CHARLOTTE, FL 33980-5865
(941) 235-3216
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906531
FL
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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