Organization · Type 2 NPI

1059 Virginia ST Opco LLC

Assisted Living Facility · Dunedin, FL

NPI number 1982476206 Active

Practice location

1059 Virginia St
Dunedin, FL 34698-7326

Call (727) 733-6091 Map

Fax (727) 736-6739

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 1982476206

1059 Virginia ST Opco LLC's National Provider Identifier is 1982476206, issued on Oct 30, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Dunedin, FL. The record was last updated on Apr 9, 2025.