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Organization

ADKINSON ASSISTED LIVING FACILITIES, LLC

Active
Other names
Casa Buena
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARIA GLORIA ADKINSON MSW (ADMINISTRATOR)
(727) 344-1839
Entity
Organization

Contact information

Practice address
284 CYPRESS TRCE, TARPON SPRINGS, FL 34688-8523
(727) 510-7521
(727) 344-1839
Mailing address
6021 1ST AVE N, ST PETERSBURG, FL 33710-8512
(727) 344-1839
(727) 344-1839

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10013
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004140800
FL
Enumeration date
04/12/2012
Last updated
04/12/2012
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