Ism Opco L.l.c.
NPI #1194552836 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1194552836
- Entity Type
- Organization
- Organization Name
- Ism Opco L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ISM OPCO L.L.C.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 17, 2024
- Last Updated
- Sep 17, 2024
Practice Location
- Address
- 1701 68TH ST N
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33710-8744
- Phone
- (813) 447-9260
Authorized Official
- Name
- MR. ALCIDES SEGUI SR.
- Title
- PRESIDENT
- Phone
- (813) 447-9260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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