Gulf Coast Jewish Family Services
Assisted Living Facility, Assisted Living, Mental Illness in St Petersburg, FL. Organization (NPI-2).
NPI number1194900985
StatusActive
Last updated in NPPESDec 31, 2007
Details
- NPI
- 1194900985
- Entity type
- Organization (NPI-2)
- Legal business name
- Gulf Coast Jewish Family Services
- Organization subpart
- No
- Enumeration date
- Dec 31, 2007
- Last updated
- Dec 31, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | 430 | FL | Yes |
Other names
- 66th Street Group Home (Doing Business As)
Practice location
3180 66th St NSt Petersburg, FL 33710-3165
Phone 727-893-1661 · Fax 727-893-1663
Mailing address
3180 66th St NSt Petersburg, FL 33710-3165
Phone 727-893-1661 · Fax 727-893-1663
Authorized official
Diana J Robertson
Cfo
7274791800
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