| NPI | 1194900985 |
|---|---|
| Doing Business As | 66TH STREET GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | DIANA J ROBERTSON CFO 727-479-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 430) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |