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Gv Dunedin, LLC

Assisted Living Facility in Dunedin, FL. Organization (NPI-2).

NPI number1770958142
StatusActive
Last updated in NPPESDec 10, 2015

Details

NPI
1770958142
Entity type
Organization (NPI-2)
Legal business name
Gv Dunedin, LLC
Organization subpart
No
Enumeration date
Dec 10, 2015
Last updated
Dec 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living FacilityAL5404FLYes

Other names

  • Grand Villa Of Dunedin (Doing Business As)

Practice location

880 Patricia Ave
Dunedin, FL 34698-6072

Phone 727-734-4696 · Fax 727-736-1897

Mailing address

13770 58th St N
Suite 312
Clearwater, FL 33760-3759

Phone 727-726-3980 · Fax 727-726-5345

Authorized official

Johnny Sizemore
Operations Coordinator
7277263980

Is something wrong?

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