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Organization
TAMPA HOUSING AUTHORITY
Active
Organization
TAMPA HOUSING AUTHORITY
Active
Other names
Palm Terrace Assisted Living Facility & Adult Daycare center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONCEPCION T BRETOS (MANAGER/CEO)
(305) 864-4248
Entity
Organization
Contact information
Practice address
5121 SERENA DR, TAMPA, FL 33617-4032
(813) 988-0033
(813) 984-9881
Mailing address
5121 SERENA DR, TAMPA, FL 33617-4032
(813) 988-0033
(813) 984-9881
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141867000
—
FL
05
—
685253000
—
FL
Enumeration date
11/15/2012
Last updated
01/13/2016
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