Organization
BRANDYWYNE ASSISTED LIVING FACILITY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID SAKR (MANAGER)
(727) 439-5363
Entity
Organization
Contact information
Practice address
1801 LAKE MARIAM DR, WINTER HAVEN, FL 33884-0927
(813) 293-9981
Mailing address
1908 E 131ST AVE, TAMPA, FL 33612-4690
(813) 293-9981
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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