Organization
HERITAGE MANOR ASSISTED LIVING FACILITY, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID SAKR (OWNER)
(727) 439-5363
Entity
Organization
Contact information
Practice address
1908 E 131ST AVE, TAMPA, FL 33612-4690
(813) 977-7878
Mailing address
1908 E 131ST AVE, TAMPA, FL 33612-4690
(813) 977-7878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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