GV PINELLAS PARK LLC NPI 1700226883

NPI Information

GV PINELLAS PARK, LLC is an assisted living facility in Pinellas Park, 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 PINELLAS PARK, LLC NPI is 1700226883. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Villa Of Pinellas Park.

The provider's business location address is:

8980 49TH STREET NORTH
PINELLAS PARK, FL
ZIP 33782
Phone: (727) 546-4053

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

The CLIA number assigned to this NPI record is 10D1082531 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2013 and was last updated on 7/3/2013.

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:

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