Organization
ERIKA S HOUSE ASSISTED LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIEVES MEDINA (ADMINISTRATOR AND OWNER)
(813) 728-5657
Entity
Organization
Contact information
Practice address
8301 N GOMEZ AVE, TAMPA, FL 33614-2814
(813) 933-5953
(813) 932-1925
Mailing address
8301 N GOMEZ AVE, TAMPA, FL 33614-2814
(813) 933-5953
(813) 932-1925
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11880
FL
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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