Organization
GV LARGO, INC.
Active
Other names
Grand Villa of Largo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS FORTE (MANAGER)
(727) 726-3980
Entity
Organization
Contact information
Practice address
750 STARKEY RD, LARGO, FL 33771-2365
(727) 586-0108
(727) 586-6378
Mailing address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
(727) 726-5345
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7301
FL
311500000X
Alzheimer Center (Dementia Center)
AL7301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004211100
—
FL
Enumeration date
04/04/2013
Last updated
04/04/2013
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