Whalio Doctors

NPI 1184029415

Longleaf Alf LLC

Organisation Mental Illness Community Based Residential Treatment Facility Saint Petersburg, FL

Practice location

Address
3935 43rd Ave N, Saint Petersburg, FL 33714-3620
Phone
(727) 289-5783

Authorised official

Name
Tapan B Patel
Title
Manager
Phone
(727) 289-5783

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence AL12564 (FL)

Registry record

NPI
1184029415
Entity type
Organization
NPI issued
29 Oct 2014
Record last updated
29 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.