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Organization

NORMANDY MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NOVELYN LAO BELDIA LPN (ADMINISTRATOR)
(727) 797-9461
Entity
Organization

Contact information

Practice address
1654 MIDNIGHT PASS WAY, CLEARWATER, FL 33765-1820
(727) 797-9461
(727) 723-1524
Mailing address
1103 NORMANDY RD, CLEARWATER, FL 33764-4825
(727) 797-9461
(727) 723-1524

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5194
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140638800
FL
05
692468900
FL
Enumeration date
07/28/2013
Last updated
07/28/2013
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