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Organization
ROCKY CREEK RETIREMENT PROPERTIES, INC.
Active
Organization
ROCKY CREEK RETIREMENT PROPERTIES, INC.
Active
Other names
ADVANTAGE HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM WINGO (CFO)
(813) 884-3388
Entity
Organization
Contact information
Practice address
8606 BOULDER CT, TAMPA, FL 33615-1414
(813) 884-3388
(813) 882-4228
Mailing address
8606 BOULDER CT, TAMPA, FL 33615-1414
(813) 884-3388
(813) 882-4228
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21903096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650686100
—
FL
01
—
650686101
MEDWAIVER
FL
Enumeration date
10/06/2006
Last updated
01/20/2009
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