Muriel Manor Assisted Living Facility Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

MURIEL MANOR ASSISTED LIVING FACILITY INC

Practice address

3200 66TH St N
St Petersburg, FL 33710-1511

Phone

(727) 564-6556

NPI assigned

Jan 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gaynelle J Forde

Title

President

Phone

(727) 564-6556

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1316699234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STATE ROAD 590",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592319",
            "telephone_number": "727-564-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101511",
            "telephone_number": "727-564-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURIEL MANOR ASSISTED LIVING FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "GAYNELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-564-6556"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munroe Wellness
• Ann Fraser Munroe, DC
• Ngozi Muo, PHARMACIST
• Olivia Leigh Muratides, PA
• Christa Conologue Murchison, ARNP-BC
• Jacquelyn Murolo, CNS, LDN
• Cecele Ellen Murphy, MD
• Eugene A Murphy, MD
• James D Murphy Jr., MD
• Katlyn Murphy

• Assisted Living Facility (Mental Illness) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.