TYRONE MANOR
Managed Care Organizations at 74 St, Saint Petersburg, FL

License number
Florida 7309
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: WESLEY CHARLES WING
Title: ADMINISTRATOR
Phone: (727) 434-2115
Address
Address
2192 74Th St N, Saint Petersburg, FL 33710
National Provider ID: 1073721718
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Tyrone Manor

2192 74 St N, Saint Petersburg, FL 33710

Industry:
Intermediate Care Facility
Phone:
(727) 347-0703 (Phone)
Administrations:
Rosita Wing (Owner),Wesley Wing (Administration)

TYRONE MANOR INC

2192 74 St N, Saint Petersburg, FL 33710

Registration:
Jun 24, 2009
State ID:
P09000054568
Business type:
Florida Profit Corporation
Vice Presidents:
Rosita Wing (President, Secretary), 2192 74 St N, Saint Petersburg, FL 33710 (Physical),Wesley Wing (Vice President), 2192 74 St N, Saint Petersburg, FL 33710 (Physical)
Agent:
Sally's Tax Service,2375 York St N, Saint Petersburg, FL 33710 (Physical)
EIN:
270537906

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