Organization · NPI-2

Aravilla Clearwater

Assisted Living Facility · Clearwater, FL

NPI number1720655442
StatusActive
Last updated in NPPESJun 10, 2021

Details

NPI
1720655442
Entity type
Organization (NPI-2)
Legal business name
Aravilla Clearwater
Organization subpart
No
Enumeration date
Jun 10, 2021
Certification date
May 25, 2021
Last updated
Jun 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Other names

  • Aravilla Clearwater (Doing Business As)

Practice location

3055 Union St
Clearwater, FL 33759

Phone 727-260-2826 · Fax 727-400-4272

Mailing address

3055 Union St
Clearwater, FL 33759

Phone 727-260-2826 · Fax 727-400-4272

Authorized official

Dawn Grady
Executive Director
8133635263

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