Organization
MARSIBELLA'S ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RIDDLE (PRESIDENT)
(813) 841-5485
Entity
Organization
Contact information
Practice address
3805 N 54TH ST, TAMPA, FL 33619-1045
(813) 372-9383
Mailing address
3805 N 54TH ST, TAMPA, FL 33619-1045
(813) 372-9383
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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