Organization
ROCKY CREEK RETIREMNT PROPERTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE E MARTINEZ (EXECUTIVE DIRECTOR)
(813) 884-3388
Entity
Organization
Contact information
Practice address
8606 BOULDER CT, TAMPA, FL 33615-1414
(813) 884-3388
(813) 882-4228
Mailing address
8606 BOULDER CT, TAMPA, FL 33615-1414
(813) 884-3388
(813) 882-4228
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140688400
—
FL
01
—
672990800
MEDWAIVER
FL
Enumeration date
09/26/2006
Last updated
06/27/2019
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