Organization
PEMBROOK PLACE 2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTRELLA MONTECLARO (ADMINISTRATOR)
(727) 432-0049
Entity
Organization
Contact information
Practice address
1623 ROBINHOOD LN, CLEARWATER, FL 33764-6447
(727) 539-6872
Mailing address
1623 ROBINHOOD LN, CLEARWATER, FL 33764-6447
(727) 539-6872
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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