Organization
AVA CARES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER THOMAS DEROSA (PRESIDENT)
(813) 300-6177
Entity
Organization
Contact information
Practice address
3005 BELL SHOALS RD., BRANDON, FL 33511
(813) 300-6177
Mailing address
10107 PADDOCK OAKS DR, RIVERVIEW, FL 33569
(813) 300-6177
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-11841
FL
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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