Organization
HUMPHREY ALF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC NUNEZ (ADMINISTRATOR)
(813) 401-8651
Entity
Organization
Contact information
Practice address
4010 W HUMPHREY ST, TAMPA, FL 33614-1914
(813) 401-8651
Mailing address
4010 W HUMPHREY ST, TAMPA, FL 33614-1914
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12064
FL
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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