St Petersburg Nursing Home, LLC
NPI #1366433385 in Kenneth City, Florida
Provider Information
- NPI Number
- 1366433385
- Entity Type
- Organization
- Organization Name
- St Petersburg Nursing Home, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 31, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4250 66TH ST N
- City
- Kenneth City
- State
- Florida
- ZIP Code
- 33709-4918
- Phone
- (727) 546-2405
Authorized Official
- Name
- MICHELLE BURDETTE
- Title
- DIRECTOR OF FINANCE
- Phone
- (423) 308-1845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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