A Casa Mango Alf
Organization Active NPI Assisted Living Facility · St Petersburg, FL
NPI 1376881052 · NPPES record last updated Jan 30, 2013
Key facts
- NPI
- 1376881052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL 12273 (FL)
- Legal business name
- A CASA MANGO ALF
- Practice address
- 6800 Mango Ave S
St Petersburg, FL 33707-2110 - Phone
- (727) 345-4541
- NPI assigned
- Jan 30, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- LORON INNOVATIONS, LLC
Authorized official
- Name
- Mrs. Carol L Ripple, PA-C
- Title
- Owner/ Vice President
- Phone
- (727) 422-8718
National Provider Directory
- Part of
- A Casa Mango Alf
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL 12273 | FL | Yes |
Addresses
Primary practice location
6800 Mango Ave S
St Petersburg, FL 33707-2110
Mailing address
6800 Mango Ave S
St Petersburg, FL 33707-2110
Phone (727) 345-4541
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All providers in St Petersburg, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.