Organization
ABUELO FELIZ HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA LIDIA MOLANO (ADMINISTRATOR)
(813) 495-3660
Entity
Organization
Contact information
Practice address
8625 MAY CIR, TAMPA, FL 33614-1733
(813) 495-3660
Mailing address
8625 MAY CIR, TAMPA, FL 33614-1733
(813) 495-3660
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12964
FL
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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