Organization
MY MOMS HOME ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARO (OWNER)
(201) 978-8615
Entity
Organization
Contact information
Practice address
9003 W CLUSTER AVE, TAMPA, FL 33615-2761
(813) 398-4428
Mailing address
9003 W CLUSTER AVE, TAMPA, FL 33615-2761
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12640
FL
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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