| Imperial Livng Inc | |
|
2820 39th Ave N St Petersburg FL 33714-4524 | |
| (727) 657-5767 | |
| Not Available |
| Full Name | Imperial Livng Inc |
|---|---|
| Speciality | Home Health |
| Location | 2820 39th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Nisa N Caraballo (COO) |
| Authorized Official Contact | 7275128465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Livng Inc 2820 39th Ave N St Petersburg FL 33714-4524 Ph: (727) 657-5767 | Imperial Livng Inc 2820 39th Ave N St Petersburg FL 33714-4524 Ph: (727) 657-5767 |
| NPI Number | 1215568985 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215568985 | NPI | - | NPPES |
| 100285000 | Medicaid | FL |
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