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Organization
THE ABIGAIL GROUP
Active
Organization
THE ABIGAIL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLE LOPEZ (ADMINISTRATOR)
(813) 254-8881
Entity
Organization
Contact information
Practice address
320 S DELAWARE AVE, TAMPA, FL 33606-2106
(813) 258-2919
(813) 254-2544
Mailing address
2626 N DUNDEE ST, TAMPA, FL 33629-7538
(813) 258-2919
(813) 254-2544
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALE0498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ALE0498
ASSISTED LIVING RESIDENCE
—
Enumeration date
11/12/2013
Last updated
11/12/2013
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