Organization
ELM TREE LODGE
Active
Parent organization
ASSISTED LIVING OF PASCO
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSISTED LIVING OF PASCO
Authorized official
MARGE COFFEY (OWNER)
(727) 845-0609
Entity
Organization
Contact information
Practice address
6205 VIOLA LANE, NEW PORT RICHEY, FL 34653
(727) 845-0609
Mailing address
6205 VIOLA LN, NEW PORT RICHEY, FL 34653-1701
(727) 845-0609
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
AL8589
FL
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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