Organization · Type 2 NPI

Canyon Grove LLC

Assisted Living Facility · St. Petersburg, FL

NPI number 1396201141 Active

Practice location

4301 31st St S
St. Petersburg, FL 33712-4053

Call (727) 867-1300 Map

Mailing address

2376 60th St Ste 2
Brooklyn, NY 11204-2633

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 1396201141

Canyon Grove LLC's National Provider Identifier is 1396201141, issued on Feb 18, 2019. 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 Mar 29, 2019.