Organization
SKAGWAY LIVING FACILITY LLC
Active
Parent organization
SKAGWAY LIVING FACILITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKAGWAY LIVING FACILITY
Authorized official
MARIELA PEREZ (OWNER)
(813) 516-1605
Entity
Organization
Contact information
Practice address
2210 W SKAGWAY AVE, TAMPA, FL 33604-1040
(813) 374-4248
Mailing address
2210 W SKAGWAY AVE, TAMPA, FL 33604-1040
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11968771
FL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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