Organization
ELDERLY PRIDE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A KADIRI (ADMINISTRATOR)
(520) 822-6822
Entity
Organization
Contact information
Practice address
322 REGAL PARK DR, VALRICO, FL 33594-3638
(520) 822-6822
(813) 381-4876
Mailing address
322 REGAL PARK DR, VALRICO, FL 33594-3638
(520) 822-6822
(813) 381-4876
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
12869
FL
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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