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General NPI Number Information
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NPI Number | 1154200574
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Entity Type | Organization
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Legal Business Name | ARHC ALSPGFL01 TRS, LLC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 4600 54TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33711-4664
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Country | US
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Telephone | 727-866-3124
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Fax |
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Provider Business Mailing Address
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Address Line | 2346 POST RD STE 100
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City | WARWICK
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State | RI
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Zip | 02886-2217
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICER
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Name | MICHAEL ANDERSON
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Credential |
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Telephone | 332-258-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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