Organization
JENNY;S ALF 3,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO MORALES (ADMINISTRATOR)
(813) 758-0729
Entity
Organization
Contact information
Practice address
17633 MEADOWBRIDGE DR, LUTZ, FL 33549-5574
(813) 758-0729
(813) 406-5293
Mailing address
17633 MEADOWBRIDGE DR, LUTZ, FL 33549-5574
(813) 758-0729
(813) 406-5293
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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