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Organization
YOUR HOUSE ALF 2
Active
Organization
YOUR HOUSE ALF 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORESTES BERNAL (PRESIDENT)
(813) 298-6909
Entity
Organization
Contact information
Practice address
5816 N GRADY AVE, TAMPA, FL 33614-5541
(813) 298-6909
(813) 374-5033
Mailing address
5816 N GRADY AVE, TAMPA, FL 33614-5541
(813) 298-6909
(813) 374-5033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
02/06/2015
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