# A&J SENIOR PRIVATE CARE LLC

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

## Provider details

- **NPI number:** 1538632567
- **Authorized official:** ANDREINA ORTIZ CNA STATE LICENSE (CEO)
- **Authorized official phone:** (813) 504-4188

## Contact information

- **Practice address:** 17234 MADISON GREEN DR, TAMPA, FL 33647-3274
- **Practice address phone:** (813) 504-4188
- **Mailing address:** 17234 MADISON GREEN DR, TAMPA, FL 33647-3274
- **Mailing address phone:** (813) 504-4188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2019
- **Last updated:** 01/02/2019