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Organization

HERNANDEZ ALF INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISANDRA HERNANDEZ HERNANDEZ (ADMINISTRATOR)
(813) 270-6040
Entity
Organization

Contact information

Practice address
6604 N ORLEANS AVE, TAMPA, FL 33604-6428
(813) 270-6040
Mailing address
6604 N ORLEANS AVE, TAMPA, FL 33604-6428
(813) 270-6040

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11339
FL

Other

Enumeration date
07/16/2014
Last updated
12/15/2016
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