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Organization

ALLEGIANCE PROPERTIES 1 INC DBA WESTBROOKE MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS MATTHEW KLINOWSKI (VICE PRESIDENT)
(813) 782-4417
Entity
Organization

Contact information

Practice address
6701 DAIRY RD, ZEPHYRHILLS, FL 33542-6618
(813) 782-4417
(813) 782-8781
Mailing address
6701 DAIRY RD, ZEPHYRHILLS, FL 33542-6618
(813) 782-4417
(813) 782-8781

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6061
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
686528300
FL
Enumeration date
05/23/2008
Last updated
05/23/2008
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