Organization
JENNY'S ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY M SEGARRA (VICE-PRESIDENT/ADMINISTRATOR)
(813) 210-0982
Entity
Organization
Contact information
Practice address
16116 TAMPA ST, LUTZ, FL 33548-6125
(813) 210-0982
Mailing address
16116 TAMPA ST, LUTZ, FL 33548-6125
(813) 210-0982
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11700
FL
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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