Organization
MIRELLA'S ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRELLA R RUBIO (OWNER)
(813) 500-3508
Entity
Organization
Contact information
Practice address
3003 W BEACH ST, TAMPA, FL 33607-2928
(813) 500-3508
Mailing address
3003 W BEACH ST, TAMPA, FL 33607-2928
(813) 500-3508
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11693
FL
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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