# ANNILETY GROUP HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205626025
- **Authorized official:** ANISLEI ACOSTA (OWNER)
- **Authorized official phone:** (813) 508-8294

## Contact information

- **Practice address:** 3906 SPENCE AVE, TAMPA, FL 33614-3949
- **Practice address phone:** (813) 508-8294
- **Mailing address:** 3906 SPENCE AVE, TAMPA, FL 33614-3949
- **Mailing address phone:** (813) 508-8294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2025
- **Last updated:** 05/07/2025