Organization
GV PINELLAS PARK, LLC
Active
Other names
Grand Villa of Pinellas Park
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKI PLUMMER (MANAGER)
(727) 726-3980
Entity
Organization
Contact information
Practice address
8980 49TH STREET NORTH, PINELLAS PARK, FL 33782
(727) 546-4053
Mailing address
13770 58TH STREET NORTH, SUITE 312, CLEARWATER, FL 33760
(727) 726-3980
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5489
FL
311500000X
Alzheimer Center (Dementia Center)
5487
FL
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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