Organization
LIVING WITH FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAJUANA BROWN (PRESIDENT)
(813) 833-1207
Entity
Organization
Contact information
Practice address
3014 HUDSON ST, TAMPA, FL 33605-2353
(813) 442-7776
Mailing address
3014 HUDSON ST, TAMPA, FL 33605-3507
(813) 442-7776
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008375400
—
FL
Enumeration date
11/05/2012
Last updated
09/04/2015
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