Grand Villa of Largo

NPI #1366919565 in Largo, Florida

Provider Information

NPI Number: 1366919565
Entity Type: Organization
Organization Name: Grand Villa of Largo
Subpart: Yes (part of a larger organization)
Parent Organization: QSH/MID FLORIDA, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Oct 26, 2018
Last Updated: Oct 26, 2018

Practice Location

Address: 750 STARKEY RD
City: Largo
State: Florida
ZIP Code: 33771-2365
Phone: (727) 215-8090

Authorized Official

Name: STANLEY BRADING
Title: PRESIDENT
Phone: (404) 888-0168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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