GV ST. PETE LLC NPI 1457754558

NPI Information

GV ST. PETE, LLC is an assisted living facility in Clearwater, 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. GV ST. PETE, LLC NPI is 1457754558. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Villa Of St. Petersburg.

The provider's business location address is:

13770 58TH ST N
SUITE 312
CLEARWATER, FL
ZIP 33760-759
Phone: (727) 726-3980

The provider's authorized official is Bonnie Williamson .
The authorized official title is Operations Manager and has the following contact phone number (727) 726-3980.

The CLIA number assigned to this NPI record is 10D2186068 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 10/2/2014.

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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