Pickett Fence Manor, INC
NPI #1023228038 in St Petersburg, Florida
Provider Information
- NPI Number
- 1023228038
- Entity Type
- Organization
- Organization Name
- Pickett Fence Manor, INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1662 DR MARTIN LUTHER KING JR ST S
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33701-5701
- Phone
- (727) 742-6974
Authorized Official
- Name
- MARLENE BERTHELOT
- Title
- OWNER
- Phone
- (727) 742-6974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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