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Organization
BLUE ANGEL GARDENS CORP
Active
Organization
BLUE ANGEL GARDENS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA M AUSSENDORF RN (VP)
(813) 598-7711
Entity
Organization
Contact information
Practice address
3921 W COMANCHE AVE, TAMPA, FL 33614-5619
(813) 598-7711
Mailing address
3921 W COMANCHE AVE, TAMPA, FL 33614-5619
(813) 598-7711
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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