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Organization

GRACE HOUSE OF TAMPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARRIE DAMASKA (PRESIDENT)
(727) 709-1215
Entity
Organization

Contact information

Practice address
13315 ORANGE GROVE DR, TAMPA, FL 33618-2915
(727) 709-1215
Mailing address
13315 ORANGE GROVE DR, TAMPA, FL 33618-2915
(727) 709-1215

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12472
FL

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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