Organization
MARYDALE INC
Active
Other names
Maryland Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BING SANTIANO (ADMINISTRATOR)
(727) 642-6900
Entity
Organization
Contact information
Practice address
7632 MARYLAND AVE, HUDSON, FL 34667-3261
(727) 642-6900
Mailing address
7632 MARYLAND AVE, HUDSON, FL 34667-3261
(727) 642-6900
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7165
FL
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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