Provider Demographics
NPI:1891005443
Name:NURSE'S HELPING HEART ALF
Entity Type:Organization
Organization Name:NURSE'S HELPING HEART ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOCORRO
Authorized Official - Middle Name:C
Authorized Official - Last Name:LIWAG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-442-9878
Mailing Address - Street 1:1735 NURSERY ROAD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756
Mailing Address - Country:US
Mailing Address - Phone:727-442-9878
Mailing Address - Fax:727-442-6546
Practice Address - Street 1:1735 NURSERY ROAD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756
Practice Address - Country:US
Practice Address - Phone:727-442-9878
Practice Address - Fax:727-442-6546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7176310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility