Organization
HUDSON MANOR OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUNIT SHAH (MANAGER)
(813) 280-2000
Entity
Organization
Contact information
Practice address
115 E DAVIS BLVD, TAMPA, FL 33606
(813) 280-2000
Mailing address
109 N BRUSH ST, STE 260, TAMPA, FL 33602
(813) 280-2000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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