Organization
PATRICK MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA PUTNAM (OWNER)
(727) 521-1843
Entity
Organization
Contact information
Practice address
896 73RD AVE N, ST PETERSBURG, FL 33702-5220
(727) 521-1843
(727) 521-1100
Mailing address
896 73RD AVE N, ST PETERSBURG, FL 33702-5220
(727) 521-1843
(727) 521-1100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10248
FL
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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