Organization
ADVANCED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVANSHAY HARRIS (OWNER)
(813) 846-5750
Entity
Organization
Contact information
Practice address
10009 N 27TH ST, TAMPA, FL 33612-7101
(813) 846-5750
Mailing address
10009 N 27TH ST, TAMPA, FL 33612-7101
(813) 846-5750
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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