Organization
KONA 66 LLC
Active
Other names
KONA GARDENS ASSISTED LIVING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG AMIN RPH (OWNER)
(813) 967-3808
Entity
Organization
Contact information
Practice address
3200 66TH ST N, ST PETERSBURG, FL 33710-1511
(727) 914-3012
(727) 914-3013
Mailing address
8447 DUNHAM STATION DR, TAMPA, FL 33647-3339
(813) 967-3808
(813) 435-2244
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13197
FL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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