Organization
LIVING WITH FRIENDS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAJUANA BROWN (PRESIDENT)
(813) 650-6728
Entity
Organization
Contact information
Practice address
3405 N 12TH ST, TAMPA, FL 33605
(813) 898-2231
(813) 402-0610
Mailing address
3405 N 12TH ST, TAMPA, FL 33605
(813) 898-2231
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12542
FL
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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