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Organization

SERENITY HOME OF TAMPA ALF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GUILLERMO TOLEDO (OWNER)
(813) 884-7195
Entity
Organization

Contact information

Practice address
6013 CRESTHILL DRIVE, TAMPA, FL 33615
(813) 884-7195
(813) 884-7195
Mailing address
6013 CRESTHILL DRIVE, TAMPA, FL 33615
(813) 884-7195
(813) 884-7195

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12218
FL

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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