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Organization

REBECCA ASSISTED LIVING FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MACAULAY O IGBINOSUN (CEO)
(813) 629-3428
Entity
Organization

Contact information

Practice address
2015 DERBYWOOD DR, BRANDON, FL 33510-2213
(813) 629-3428
(813) 438-8555
Mailing address
2015 DERBYWOOD DR, BRANDON, FL 33510-2213
(813) 629-3428
(813) 438-8555

Taxonomy

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

Other

Enumeration date
09/17/2021
Last updated
09/17/2021
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