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Organization
YOUR HOUSE ALF CORP
Active
Organization
YOUR HOUSE ALF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORESTES BERNAL (PRESIDENT)
(813) 298-6909
Entity
Organization
Contact information
Practice address
4008 W BROAD ST, TAMPA, FL 33614-3164
(813) 298-6909
Mailing address
4008 W BROAD ST, TAMPA, FL 33614-3164
(813) 298-6909
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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