Azalea Manor

LBN: Eastwinds Of Florida Inc.
Azalea Manor is an health care organization with primary practice located at 112 12Th Ave N , St Petersburg FL 33701-1826. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Eastwinds Of Florida Inc. can be contacted via phone (727) 821-8510, or through Mckenzie, Floyd M. via phone (727) 821-8510.

Contact Information

Primary practice address
112 12Th Ave N St Petersburg FL 33701-1826
Phone: (727) 821-8510
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mckenzie, Floyd M.
Phone: (727) 821-8510

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X AL5405 Florida

Profile Details

NPI number 1386823599
LBN Legal business name Eastwinds Of Florida Inc.
DBA Doing business as Azalea Manor
Authorized official Mckenzie, Floyd M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Aug 19th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386823599 NPPES
Florida MEDICAID 687826196

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