Organization
GRADY MANAGEMENT CORP.
Active
Other names
Farmer's Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS GRADY (SECRETARY/TREASURER)
(727) 488-3520
Entity
Organization
Contact information
Practice address
2135 40TH AVE N, ST PETERSBURG, FL 33714-4124
(727) 522-6590
(727) 528-4580
Mailing address
3530 OAK ST NE, ST PETERSBURG, FL 33704-1538
(727) 522-6590
(727) 528-4580
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL1052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142049600
—
FL
Enumeration date
05/17/2011
Last updated
05/17/2011
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