Organization · Type 2 NPI

Bloom at St. Petersburg, LLC

Assisted Living Facility · St. Petersburg, FL

NPI number 1366968612 Active

Practice location

6775 40th Ave N
St. Petersburg, FL 33709-4939

Mailing address

260 E Brown St Ste 315
Birmingham, MI 48009-6232

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: 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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About NPI 1366968612

Bloom at St. Petersburg, LLC's National Provider Identifier is 1366968612, issued on Aug 18, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 22, 2017.