Organization
RAW FUSION LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDAJOY ROSE (PRESIDENT)
(813) 333-2626
Entity
Organization
Contact information
Practice address
3837 NORTHDALE BLVD, SUITE 145, TAMPA, FL 33624-1841
(813) 333-2626
Mailing address
3837 NORTHDALE BLVD, SUITE 145, TAMPA, FL 33624-1841
(813) 333-2626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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