Organization
4J'S
Active
Other names
Angel's Touch II
Organization subpart
No
Provider details
NPI number
Authorized official
CONSORCIA MENDOZA (ADMINISTRATOR)
(727) 482-0672
Entity
Organization
Contact information
Practice address
1735 JEFFORDS ST, CLEARWATER, FL 33756-4560
(727) 447-8558
(727) 253-4559
Mailing address
1735 JEFFORDS ST, CLEARWATER, FL 33756-4560
(727) 447-8558
(727) 253-4559
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 5034
FL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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