# DEANNA ADULT FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1497115265
- **Authorized official:** DEANNA CELES JOHNSON (OWNER)
- **Authorized official phone:** (813) 251-8506

## Contact information

- **Practice address:** 2325 W PINE ST, TAMPA, FL 33607-3456
- **Practice address phone:** (813) 251-8506
- **Mailing address:** 2325 W PINE ST, TAMPA, FL 33607-3456
- **Mailing address phone:** (813) 251-8506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906609 | FL | Yes |

## Other

- **Enumeration date:** 03/07/2016
- **Last updated:** 03/07/2016