Organization
GALLO HOUSE I, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARY SELG (OWNER)
(727) 817-0335
Entity
Organization
Contact information
Practice address
9110 STAR TRAIL, NEW PORT RICHEY, FL 34654
(727) 868-3627
(727) 868-3627
Mailing address
9110 STAR TRAIL, NEW PORT RICHEY, FL 34654
(727) 868-3627
(727) 868-3627
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
6665
FL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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