Organization · Type 2 NPI

Edenville Manor LLC

Assisted Living Facility · Clearwater, FL

NPI number 1467726091 Active

Practice location

721 Edenville Ave
Clearwater, FL 33764-6339

Call (727) 726-7242 Map

Fax (727) 726-7211

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL 11968190 (FL)

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 1467726091

Edenville Manor LLC's National Provider Identifier is 1467726091, issued on Feb 29, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clearwater, FL. The record was last updated on Feb 29, 2012.