Organization
CATHERINE MANOR, LLC
Active
Other names
Bay Pines Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS GRADY (MANAGING MEMBER)
(727) 488-3520
Entity
Organization
Contact information
Practice address
10591 BAY PINES BLVD, ST PETERSBURG, FL 33708-3101
(727) 391-5965
(727) 391-5965
Mailing address
10591 BAY PINES BLVD, ST PETERSBURG, FL 33708-3101
(727) 391-5965
(727) 391-5965
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142048800
—
FL
Enumeration date
05/17/2011
Last updated
05/17/2011
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