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Organization

A-1 MEDICAL AND BEHAVIORAL MANAGEMENT SVC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA DENISE HARVEY MSN, ARNP (ARNP-C)
(727) 218-8961
Entity
Organization

Contact information

Practice address
2822 54TH AVE S, # 215, ST PETERSBURG, FL 33712-4610
(727) 218-8961
(727) 499-9886
Mailing address
2822 54TH AVE S, # 215, ST PETERSBURG, FL 33712-4610
(727) 218-8961
(727) 499-9886

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
ARNP9167043
FL
314000000X
Skilled Nursing Facility
Primary
ARNP9167043
FL
320800000X
Mental Illness Community Based Residential Treatment Facility
ARNP9167043
FL

Other

Enumeration date
07/29/2015
Last updated
07/29/2015
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