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Organization
THE ABUELO'S QUIET VILLAGE ALF
Active
Organization
THE ABUELO'S QUIET VILLAGE ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO A VELAZQUEZ (OWNER)
(813) 468-4890
Entity
Organization
Contact information
Practice address
2307 W SAINT JOSEPH ST, TAMPA, FL 33607-1651
(813) 468-4890
Mailing address
2307 W SAINT JOSEPH ST, TAMPA, FL 33607-1651
(813) 468-4890
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12938
FL
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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