Organization
PRASHAM LLC
Active
Other names
ST CLOUD HAVEN ALF 1
Organization subpart
No
Provider details
NPI number
Authorized official
TEJALBALA PATEL (MANAGER)
(813) 816-1231
Entity
Organization
Contact information
Practice address
907 N TAYLOR RD, BRANDON, FL 33510-3121
(813) 816-1231
Mailing address
5526 THISTLE FIELD CT, WESLEY CHAPEL, FL 33545-3316
(813) 816-1231
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
03/23/2026
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