Organization
EL COCHERO ALF CORP
Active
Other names
El Cochero ALF Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MARILIN MACHADO (OWNER)
(239) 628-2630
Entity
Organization
Contact information
Practice address
3012 W ROBSON ST, TAMPA, FL 33614-3472
(239) 628-2630
Mailing address
3012 W ROBSON ST, TAMPA, FL 33614-3472
(239) 628-2630
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13302
AHCA LICENSE
FL
Enumeration date
06/09/2019
Last updated
06/09/2019
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