Organization
SOUTHERN LIVE IN INC
Active
Other names
SOUTHERN LIVE-IN OF BRANDON
Organization subpart
No
Provider details
NPI number
Authorized official
MELONIE LIVE-IN OF BESSETTE PRESIDENT (OWNER)
(813) 381-2406
Entity
Organization
Contact information
Practice address
619 PRINCETON ST, BRANDON, FL 33511-7129
(813) 655-0822
(813) 681-1482
Mailing address
PO BOX 3528, APOLLO BEACH, FL 33572-1005
(813) 381-2406
(813) 681-1482
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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