Bankwell Residential Community LLC
Clinical Medical Laboratory in Saint Petersburg, FL. Organization (NPI-2).
NPI number1285502963
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1285502963
- Entity type
- Organization (NPI-2)
- Legal business name
- Bankwell Residential Community LLC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2025
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 310400000X | Assisted Living Facility | – | – |
Practice location
800 64th Ave SSaint Petersburg, FL 33705-5924
Phone 727-906-1034
Mailing address
800 64th Ave SSaint Petersburg, FL 33705-5924
Phone 727-906-1034
Authorized official
Crystal M Wells
Administrator
7279061034
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