Organization
HACIENDA VILLAS ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA ZULUAGA (BUSINESS MANAGER)
(813) 223-2686
Entity
Organization
Contact information
Practice address
1510 E PALM AVE, TAMPA, FL 33605-3715
(813) 247-3339
Mailing address
1510 E PALM AVE, TAMPA, FL 33605-3715
(813) 247-3339
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12164
FL
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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