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Organization

CASITA MARIA ALF SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE EMMANUEL GOMEZ (ALF ADMINISTRATOR)
(813) 895-8812
Entity
Organization

Contact information

Practice address
7744 HINSDALE DR, TAMPA, FL 33615-1504
(813) 471-8833
Mailing address
7744 HINSDALE DR, TAMPA, FL 33615-1504
(813) 895-8812

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALI3077
FL

Other

Enumeration date
10/10/2017
Last updated
10/10/2017
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