Organization
YETEY ENTERPRISES INC
Active
Other names
YETEY ALF,SPRINGSWATER ALF AND IMMANUEL AT YBOR ALF, YETEY ENTERPRISES INC DBA YETEY ASSISTED LIVING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABIODUN ADEGBOLA (TRESURER/ADMINISTRATOR)
(813) 930-8370
Entity
Organization
Contact information
Practice address
8602 N 22ND ST, TAMPA, FL 33604
(813) 930-8370
Mailing address
8602 N 22ND ST, TAMPA, FL 33604-2104
(813) 930-8370
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
AL9398
FL
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140164500
—
FL
Enumeration date
01/22/2014
Last updated
04/17/2020
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