Organization
GARDENS OF TIME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA JULIA MEDINA RODRIGUEZ MGR (ADMINISTRATOR)
(813) 443-0343
Entity
Organization
Contact information
Practice address
4603 N SAINT VINCENT ST, TAMPA, FL 33614-6671
(813) 443-0343
(813) 443-0343
Mailing address
4603 N SAINT VINCENT ST, TAMPA, FL 33614-6671
(813) 443-0343
(813) 443-0343
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12263
FL
Other
Enumeration date
10/13/2012
Last updated
10/13/2012
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