Organization
PERTPETUAL HEALTH ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BIENVENIDO BEFITIL NARTATEZ (MANAGER)
(813) 541-7936
Entity
Organization
Contact information
Practice address
3305 MAYDELL DR, TAMPA, FL 33619-6235
(813) 541-7936
(813) 620-3689
Mailing address
3305 MAYDELL DR, TAMPA, FL 33619-6235
(813) 541-7936
(813) 620-3689
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AL11133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1429493 00
—
FL
Enumeration date
04/16/2008
Last updated
04/16/2008
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