Organization
MY MOM'S HOME ALF WEST TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARO (OWNER)
(201) 978-8615
Entity
Organization
Contact information
Practice address
3204 W LEROY ST, TAMPA, FL 33607
(813) 872-6806
(813) 436-5176
Mailing address
3204 W LEROY ST, TAMPA, FL 33607
(813) 872-6806
(813) 436-5176
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
02/08/2018
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