Organization
LAS MERCEDES FAMILY HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE LOPEZ-MARTINEZ (ADMINISTRATOR)
(813) 407-6888
Entity
Organization
Contact information
Practice address
8426 N MANHATTAN AVE, TAMPA, FL 33614-1406
(813) 249-4536
(813) 249-4536
Mailing address
8426 N MANHATTAN AVE, TAMPA, FL 33614-1406
(813) 249-4536
(813) 249-4536
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
310400000X
FL
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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