Organization
ROCK FISH GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE F N'DAMBANI (DIRECT CARE)
(813) 569-5905
Entity
Organization
Contact information
Practice address
4808 ROCK FISH CT, TAMPA, FL 33617-6411
(813) 569-5905
Mailing address
4808 ROCK FISH CT, TAMPA, FL 33617-6411
(813) 569-5905
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
4563-3GA
FL
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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