Organization
JUDITH'S ASSISTED LIVING FACILITY, INC
Active
Other names
dba YUDITH'S ASSISTED LIVING FACILITY II
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN DOMINGUEZ (ADMINISTRATOR)
(813) 453-2480
Entity
Organization
Contact information
Practice address
4415 W JEAN ST, TAMPA, FL 33614-3608
(813) 453-2480
Mailing address
4415 W JEAN ST, TAMPA, FL 33614-3608
(813) 453-2480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10958
FL
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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