Organization
MORNINGSTAR ASSISTED LIVING, LLC
Active
Other names
Country Inn ALF
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GOICU (OWNER)
(360) 920-9598
Entity
Organization
Contact information
Practice address
7600 78TH AVE N, PINELLAS PARK, FL 33781-1800
(727) 546-2711
Mailing address
17920 GULF BLVD APT 703, REDINGTON SHORES, FL 33708-1143
(360) 920-9598
(727) 914-0410
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
7020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007156900
—
FL
Enumeration date
07/01/2011
Last updated
12/18/2017
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