# SANDRA CARES ADULT FAMILY CARE HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marie sandra Jeannot
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447644653
- **Authorized official:** MARIE SANDRA JEANNOT CNA (ADMINISTRATOR)
- **Authorized official phone:** (813) 506-3907

## Contact information

- **Practice address:** 4207 W WISCONSIN AVE, TAMPA, FL 33616-1139
- **Practice address phone:** (813) 506-3907
- **Practice address fax:** (813) 304-1869
- **Mailing address:** 4207 W WISCONSIN AVE, TAMPA, FL 33616
- **Mailing address phone:** (813) 506-3907
- **Mailing address fax:** (813) 304-1869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906746 | FL | Yes |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 03/25/2015