NPI: 1386944064
Provider Name: ALCOVE RETIREMENT CENTER III
Other Name: ALCOVE ASSISTED LIVING FACILITY
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
CLIA Number: 10D1007607
Address:
2801 4TH ST N
ST PETERSBURG, FL
ZIP 33704
Phone: (727) 898-0560
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ALCOVE RETIREMENT CENTER III 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. ALCOVE RETIREMENT CENTER III NPI is 1386944064. The provider is registered as an organization entity type.
The provider Other Name Is Alcove Assisted Living Facility.
The provider's business location address is:
2801 4TH ST N
ST PETERSBURG, FL
ZIP 33704
Phone: (727) 898-0560
Fax: (727) 895-1155
The provider's authorized official is Nelly Mcnulty .
The authorized official title is Owner/administrator and has the following contact phone number (727) 898-0560.
The CLIA number assigned to this NPI record is 10D1007607 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/27/2010 and was last updated on 9/26/2014.