Organization
RUTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLIE RUTH MILLER (CARE GIVER)
(813) 671-5810
Entity
Organization
Contact information
Practice address
4812 S 86TH ST, TAMPA, FL 33619-7126
(813) 671-5810
Mailing address
4812 S 86TH ST, TAMPA, FL 33619-7126
(813) 671-5810
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141477100
—
FL
Enumeration date
08/21/2013
Last updated
03/10/2014
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