# FAMILY RESIDENCES OF TAMPA INC

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

## Provider details

- **NPI number:** 1598190092
- **Authorized official:** MR. DAVE R FORD SR. BSBM (PRESIDENT)
- **Authorized official phone:** (813) 374-6121

## Contact information

- **Practice address:** 14508 MIDLAND GREENS PL, TAMPA, FL 33625-3348
- **Practice address phone:** (813) 374-6121
- **Practice address fax:** (813) 374-6121
- **Mailing address:** 14508 MIDLAND GREENS PL, TAMPA, FL 33625-3348
- **Mailing address phone:** (813) 374-6121
- **Mailing address fax:** (813) 374-6121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | FL | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/04/2013