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ADRIAN MANOR NPI 1043642606


NPI Information

NPI: 1043642606
Provider Name: ADRIAN MANOR
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
2168 9TH AVE N
ST PETERSBURG, FL
ZIP 33713
Phone: (727) 328-1348
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ADRIAN MANOR is an assisted living and mental illness 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 special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. ADRIAN MANOR NPI is 1043642606. The provider is registered as an organization entity type.

The provider's business location address is:

2168 9TH AVE N
ST PETERSBURG, FL
ZIP 33713-134
Phone: (727) 328-1348
Fax: (727) 824-6364

The provider's authorized official is Valdene Forde .
The authorized official title is Administrator and has the following contact phone number (727) 896-4515.

The enumeration date for this NPI number is 8/6/2013 and was last updated on 8/6/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL10857FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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