Healthcare Provider Details

I. General information

NPI: 1770729345
Provider Name (Legal Business Name): MANNING & RESOVSKY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2009
Last Update Date: 01/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 CAIRD WAY
PALM HARBOR FL
34683-6324
US

IV. Provider business mailing address

1506 CAIRD WAY
PALM HARBOR FL
34683-6324
US

V. Phone/Fax

Practice location:
  • Phone: 727-781-8346
  • Fax:
Mailing address:
  • Phone: 727-781-8346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL 11455
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberAL 11455
License Number StateFL

VIII. Authorized Official

Name: MRS. HOLLY G MANNING
Title or Position: CO OWNER
Credential:
Phone: 727-781-8346