Organization
NEW TAMPA ASSISTED LIVING COMMUNITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S BENNETT (MGR)
(813) 545-0682
Entity
Organization
Contact information
Practice address
14712 N 42ND ST, TAMPA, FL 33613-2955
(813) 632-6370
Mailing address
14712 N 42ND ST, TAMPA, FL 33613-2955
(813) 632-6370
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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