Palm Lake Village Housing Corporation
NPI #1184962003 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1184962003
- Entity Type
- Organization
- Organization Name
- Palm Lake Village Housing Corporation
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 28, 2013
- Last Updated
- Sep 5, 2019
Practice Location
- Address
- 3800 62ND AVE N
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33781-6055
- Phone
- (727) 489-6440
Authorized Official
- Name
- LISA ELLIOTT
- Title
- ADMINISTRATOR
- Phone
- (727) 489-6440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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