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Organization
THE HERITAGE OF TAVARES ALF
Active
Organization
THE HERITAGE OF TAVARES ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REY RAFAEL ALAGANO (OWNER ADMINISTRATOR)
(352) 343-3070
Entity
Organization
Contact information
Practice address
900 E ALFRED ST, TAVARES, FL 32778-3402
(352) 343-3070
(352) 343-5633
Mailing address
900 E ALFRED ST, TAVARES, FL 32778-3402
(352) 343-3070
(352) 343-5633
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5368
FL
Other
Enumeration date
05/15/2007
Last updated
01/23/2008
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