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Sophia Kibuismith
Adult Care Home Facility in St Petersburg, Florida
NPI 1346012572

Sophia Kibuismith is an Adult Care Home Facility based in St Petersburg, FL and is specialized in Adult Care Home. Sophia Kibuismith practices in St Petersburg, FL. The NPI Number for Sophia Kibuismith is 1346012572 and holds a License No. 6907085 (Florida).

The current practice location address for Sophia Kibuismith is 4811 5Th Ave S, St Petersburg, FL and can be reached out via phone at 425-246-5077.

Location: 4811 5Th Ave S, St Petersburg, FL, 33711-1421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346012572
Provider Name
Sophia Kibuismith
Credential
Provider Entity Type
Individual
Gender
Female
Address
4811 5Th Ave S, St Petersburg, FL, 33711-1421
Phone Number
425-246-5077
Fax Number
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4811 5Th Ave S
City
St Petersburg
State
Florida
Zip
33711-1421
Phone Number
425-246-5077
Fax Number
person
Provider Business Mailing Address Details
Address
4811 5Th Ave S
City
St Petersburg
State
Florida
Zip
33711-1421
Phone Number
425-246-5077
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6907085 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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