Organization
ST MARK VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA POHL MBA (CHIEF FINANCIAL OFFICER)
(727) 785-2577
Entity
Organization
Contact information
Practice address
2655 NEBRASKA AVE, PALM HARBOR, FL 34684-2630
(727) 785-2577
(727) 786-6835
Mailing address
2655 NEBRASKA AVE, PALM HARBOR, FL 34684-2630
(727) 785-2577
(727) 786-6835
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5340
FL
Other
Enumeration date
12/18/2017
Last updated
06/16/2018
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