institution
Palm Lake Village Housing Corporation
Assisted Living Facility in Pinellas Park, Florida
NPI 1184962003

Palm Lake Village Housing Corporation is an Assisted Living Facility based in Pinellas Park, FL. Palm Lake Village Housing Corporation practices in Pinellas Park, FL. The NPI Number for Palm Lake Village Housing Corporation is 1184962003 and holds a License No. AL10314 (Florida).

The current practice location address for Palm Lake Village Housing Corporation is 3800 62Nd Ave N, Pinellas Park, FL and can be reached out via phone at 727-489-6440.

Location: 3800 62Nd Ave N, Pinellas Park, FL, 33781-6055
institution
Provider Profile Details
NPI Number
1184962003
Provider Name
Palm Lake Village Housing Corporation
Credential
Provider Entity Type
Organization
Address
3800 62Nd Ave N, Pinellas Park, FL, 33781-6055
Phone Number
727-489-6440
Fax Number
Provider Enumeration Date
01/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001645100 05 FL
institution
Provider Business Practice Location Address Details
Address
3800 62Nd Ave N
City
State
Zip
33781-6055
Phone Number
727-489-6440
Fax Number
person
Provider Business Mailing Address Details
Address
3800 62Nd Ave N
City
State
Zip
33781-6055
Phone Number
727-489-6440
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
AL10314 (Florida)
Definition
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.
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