Organization
MARY'S GARDEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN RECINE RN (ADMIN)
(727) 345-1341
Entity
Organization
Contact information
Practice address
6067 17TH AVE N, ST PETERSBURG, FL 33710-5637
(727) 345-1341
Mailing address
6067 17TH AVE N, ST PETERSBURG, FL 33710-5637
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9836
FL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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