Organization
GREEN SENIOR CARE OF TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA DEWITT SCOTT (PRESIDENT)
(813) 731-8312
Entity
Organization
Contact information
Practice address
1513 W FLETCHER AVE, TAMPA, FL 33612-3315
(855) 331-6615
(855) 638-4902
Mailing address
11290 WALSINGHAM RD, LARGO, FL 33778-3101
(855) 331-6615
(855) 638-4902
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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