Organization
GRACE FULL LIVING FOR SENIORS INC.
Active
Other names
The Green Bench
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PIER GASMENA (PRESIDENT)
(863) 595-7353
Entity
Organization
Contact information
Practice address
601 49TH ST N, ST PETERSBURG, FL 33710-7320
(727) 328-1414
(727) 328-8433
Mailing address
747 BON AIR ST, LAKELAND, FL 33805-4631
(863) 688-1196
(863) 687-7707
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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