Organization · NPI-2

Goldenlifemanor

Assisted Living Facility · Saint Petersburg, FL

NPI number1477950301
StatusActive
Last updated in NPPESNov 20, 2014

Details

NPI
1477950301
Entity type
Organization (NPI-2)
Legal business name
Goldenlifemanor
Organization subpart
No
Enumeration date
Nov 20, 2014
Last updated
Nov 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

200 Se Lincoln Cir N
Saint Petersburg, FL 33703-1435

Phone 727-520-9314

Mailing address

200 Se Lincoln Cir N
Saint Petersburg, FL 33703-1435

Phone 727-520-9314

Authorized official

Svetlana Zablotzka
Owner
7272395444

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