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EVERLASTING GRACE ASSISTED LIVING INC.

Assisted Living, Mental Illness

St Petersburg, Florida

Provider NPI: 1770742231

Organization Information:
Organization Name:  EVERLASTING GRACE ASSISTED LIVING INC.


Practice Location:
1325 4TH ST N  ST PETERSBURG, FL 33701 US
Tel: 727-823-6812  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
FLAL # 5195

Other Provider Identifiers:

IssuerNumberStateType
142552800FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS FL - Page 1