Organization
GARDENS OF TIME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA J MEDINA (ADMINISTRATOR)
(813) 505-5564
Entity
Organization
Contact information
Practice address
2914 W SLIGH AVE, TAMPA, FL 33614-4212
(813) 513-4492
(813) 513-4492
Mailing address
2914 W SLIGH AVE, TAMPA, FL 33614-4212
(813) 513-4492
(813) 513-4492
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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