Organization
BENRAC TENDER CARE INC
Active
Other names
BENRAC HOME ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL MOJOYIN ALEGE (ADMINISTRATOR)
(813) 760-0980
Entity
Organization
Contact information
Practice address
910 BRIARCLIFF DR, VALRICO, FL 33594-4148
(813) 760-0980
Mailing address
910 BRIARCLIFF DR, VALRICO, FL 33594-4148
(813) 760-0980
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005924700
—
FL
Enumeration date
02/18/2014
Last updated
02/18/2014
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