Francis Alberto Russo
Assisted Living Facility in Venice, FL. Individual provider (NPI-1).
NPI number1366044547
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1366044547
- Entity type
- Individual (NPI-1)
- Name
- Francis Alberto Russo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2020
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 12776 | FL | Yes |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 12776 | FL |
Practice location
350 Magnolia RdVenice, FL 34293-5743
Phone 941-412-4092 · Fax 941-220-7352
Mailing address
350 Magnolia RdVenice, FL 34293-5743
Phone 941-412-4092 · Fax 941-220-7352
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