Provider Demographics
NPI:1891112298
Name:GUIDED MANAGEMENT, INC.
Entity Type:Organization
Organization Name:GUIDED MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURA-WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-848-5692
Mailing Address - Street 1:5341 PALMETTO RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-1716
Mailing Address - Country:US
Mailing Address - Phone:727-848-5692
Mailing Address - Fax:727-846-8112
Practice Address - Street 1:5341 PALMETTO RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-1716
Practice Address - Country:US
Practice Address - Phone:727-848-5692
Practice Address - Fax:727-846-8112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL5630310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL142821700Medicaid