Organization · Type 2 NPI

Well Trevi Tenant LLC

Assisted Living Facility · South Pasadena, FL

NPI number 1821741877 Active

Practice location

1255 Pasadena Ave S # Souths
South Pasadena, FL 33707-6203

Call (727) 381-5411 Map

Mailing address

4500 Dorr St
Toledo, OH 43615-4040

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None 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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NPI record

NPI: 1821741877
Entity type: Organization (Type 2)
Issued: Jan 31, 2022
Last updated: Jan 19, 2023
Status: Active

Other names

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The Fountains at Boca Ciega Bay · doing business as
The Fountains at Boca Ciega Bay · doing business as

Authorized official

Mary Ellen Pisanelli
Authorized Representative
(419) 247-2800

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821741877

Well Trevi Tenant LLC's National Provider Identifier is 1821741877, issued on Jan 31, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in South Pasadena, FL. The record was last updated on Jan 19, 2023.