# ALTAMESE MCQUAY FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Altamese Family Home at Ida St
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366253320
- **Authorized official:** JOHN MITCHELL (ADMINISTRATOR)
- **Authorized official phone:** (909) 919-4397

## Contact information

- **Practice address:** 3112 E IDA ST, TAMPA, FL 33610-7841
- **Practice address phone:** (909) 919-4397
- **Mailing address:** 20125 OUTPOST POINT DR, TAMPA, FL 33647-3562
- **Mailing address phone:** (909) 919-4397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2025
- **Last updated:** 01/17/2025