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Organization
SANDRA CARES ADULT FAMILY CARE HOME, INC.
Active
Organization
SANDRA CARES ADULT FAMILY CARE HOME, INC.
Active
Other names
Marie sandra Jeannot
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE SANDRA JEANNOT CNA (ADMINISTRATOR)
(813) 506-3907
Entity
Organization
Contact information
Practice address
4207 W WISCONSIN AVE, TAMPA, FL 33616-1139
(813) 506-3907
(813) 304-1869
Mailing address
4207 W WISCONSIN AVE, TAMPA, FL 33616
(813) 506-3907
(813) 304-1869
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906746
FL
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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