Organization
HERITAGE OAKS ALF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIE G MACALINAO MBA (PRESIDENT/CEO)
(813) 352-3569
Entity
Organization
Contact information
Practice address
2801 N. BRANCH FORBES ROAD, TAMPA, FL 33565
(813) 752-1076
(813) 237-2756
Mailing address
10759 CORY LAKE DRIVE, TAMPA, FL 33647
(813) 352-3569
(813) 237-2756
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
4906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003855800
—
FL
Enumeration date
11/15/2012
Last updated
04/28/2016
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