# EAKENS GROUP HOME

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

## Provider details

- **NPI number:** 1629526074
- **Authorized official:** MISS RONEISHA MILNER (LICENSED PRACTICAL NURSE)
- **Authorized official phone:** (832) 727-0118

## Contact information

- **Practice address:** 8402 RIO BRAVO CT, 3, TAMPA, FL 33617-7083
- **Practice address phone:** (832) 727-0118
- **Practice address fax:** (832) 727-0118
- **Mailing address:** 8402 RIO BRAVO CT, 3, TAMPA, FL 33617-7083
- **Mailing address phone:** (832) 727-0118
- **Mailing address fax:** (832) 727-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | PN5211100 | FL | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/14/2016