Elm Tree Lodge
Elm Tree Lodge is a Preferred Provider Organization in New Port Richey, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
Practice location Address checks out
6205 Viola LnNew Port Richey, FL 34653
Phone: (727) 845-0609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence AL8589 (FL) |
|---|
Record details
| NPI number | 1881025005 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Assisted Living of Pasco |
| Authorized official | Marge Coffey — Owner · (727) 845-0609 |
| NPI enumerated | December 13, 2013 |
| Last updated in NPPES | December 13, 2013 |
| Mailing address | 6205 Viola Ln, New Port Richey, FL 34653-1701 |
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Psl Operating Florida, LLC
5539 Charles St, New Port Richey, FL 34652-3705 · (727) 848-4459