Organization
PATIENTLY CARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIKESA MONTRIEL LONG (ADMINISTRATOR)
(727) 348-0952
Entity
Organization
Contact information
Practice address
2642 39TH AVE N, ST PETERSBURG, FL 33714-3932
(727) 348-0952
Mailing address
2642 39TH AVE N, ST PETERSBURG, FL 33714-3932
(727) 348-0952
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
342000000X
Transportation Network Company
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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