Organization
CHRISTIAN MANOR OF CLEARWATER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRACEMA DRYSDALE (OWNER)
(727) 447-8935
Entity
Organization
Contact information
Practice address
1845 N KEENE RD, CLEARWATER, FL 33755-2314
(727) 447-8935
Mailing address
1845 N KEENE RD, CLEARWATER, FL 33755-2314
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9781
FL
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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