PICKETT FENCE MANOR INC NPI 1023228038

NPI Information

PICKETT FENCE MANOR, INC is an assisted living facility in St Petersburg, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PICKETT FENCE MANOR, INC NPI is 1023228038. The provider is registered as an organization entity type.

The provider's business location address is:

1662 DR MARTIN LUTHER KING JR ST S
ST PETERSBURG, FL
ZIP 33701-701
Phone: (727) 742-6974

The provider's authorized official is Marlene Berthelot .
The authorized official title is Owner and has the following contact phone number (727) 742-6974.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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