Organization
LA GLORIA ALF, LLC
Active
Other names
La Gloria ALF, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ITURRIAGA (ADMINISTRATOR)
(813) 389-7790
Entity
Organization
Contact information
Practice address
6003 W KNOX ST, TAMPA, FL 33634-4443
(813) 415-3002
Mailing address
6003 W KNOX ST, TAMPA, FL 33634-4443
(813) 415-3002
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022300300
—
FL
Enumeration date
08/20/2017
Last updated
07/21/2022
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