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Organization

GOOD SHEPHERD ASSISTED LIVING FACILITY OF BRANDON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. THELMA LLANTO MANAGAD (ADMINISTRATOR)
(813) 494-2326
Entity
Organization

Contact information

Practice address
1801 LIDO DRIVE, BRANDON, FL 33511
(813) 684-4989
(813) 684-4989
Mailing address
1801 LIDO DRIVE, BRANDON, FL 33511
(813) 684-4989
(813) 684-4989

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9000
FL

Other

Enumeration date
04/16/2012
Last updated
04/16/2012
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