Individual provider · Type 1 NPI

Sophia Kibuismith

Adult Care Home Facility · St. Petersburg, FL

NPI number 1346012572 Active

Practice location

4811 5th Ave S
St. Petersburg, FL 33711-1421

Call (425) 246-5077 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6907085 (FL)

Adult Care Home Facility: 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.

5 other providers at this address

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About NPI 1346012572

Sophia Kibuismith's National Provider Identifier is 1346012572, issued on Oct 23, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 23, 2023.