Organization
ACTS OF LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADERONKE OKUSANYA (MGR)
(813) 943-1748
Entity
Organization
Contact information
Practice address
4625 N NEBRASKA AVE, TAMPA, FL 33603-4013
(813) 943-1748
Mailing address
4625 N NEBRASKA AVE, TAMPA, FL 33603-4013
(813) 943-1748
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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