Organization
SAFEAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLY PRUDENT (ADMINISTRATOR)
(727) 289-1439
Entity
Organization
Contact information
Practice address
5028 34TH AVE N, ST PETERSBURG, FL 33710-2116
(727) 289-1439
(727) 289-1439
Mailing address
5028 34TH AVE N, ST PETERSBURG, FL 33710-2116
(727) 289-1439
(727) 289-1439
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
07/30/2015
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