Organization
COZY CARE MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALDENE E FORDE (ADMINISTRATOR)
(727) 688-1918
Entity
Organization
Contact information
Practice address
302 11TH AVE NE, ST PETERSBURG, FL 33701-1926
(727) 894-4572
Mailing address
302 11TH AVE NE, ST PETERSBURG, FL 33701-1926
(727) 894-4572
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL16
FL
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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