Organization
LIFECARE HOME INC
Active
Other names
OAKLAND MANOR ALF
Organization subpart
No
Provider details
NPI number
Authorized official
WYNDEE TANTOCO (ADMINISTRATOR)
(813) 225-1347
Entity
Organization
Contact information
Practice address
2812 N NEBRASKA AVE, TAMPA, FL 33602-1728
(813) 225-1347
Mailing address
2812 N NEBRASKA AVE, TAMPA, FL 33602-1728
(813) 225-1347
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/19/2020
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