THE ALLEGRO AT COLLEGE HARBOR L.L.C.
Assisted Living Facility
St Petersburg, Florida
Provider NPI: 1033141437
Organization Information:Organization Name: THE ALLEGRO AT COLLEGE HARBOR L.L.C.
Practice Location:
4600 54TH AVE S ST PETERSBURG, FL 33711 US
Tel: 727-866-3124 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4600 54TH AVE S ST PETERSBURG, FL 33711 US
Tel: 727-866-3124 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL6140 |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF1094096 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS PRVIDER IDENTI | L8H | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin