Organization
MANADEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS DE LA CRUZ (OWNER)
(813) 471-7835
Entity
Organization
Contact information
Practice address
1307 E BAKER ST, PLANT CITY, FL 33563-5801
(813) 752-1648
Mailing address
PO BOX 66, VALRICO, FL 33595-0066
(813) 494-2326
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690113100
—
FL
Enumeration date
05/10/2007
Last updated
05/19/2008
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