Organization
BRANDON ASSISTED LIVING LLC
Active
Other names
Tessera of Brandon
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA ROJAS (ADMINISTRATION)
(941) 362-4753
Entity
Organization
Contact information
Practice address
1320 OAKFIELD DR, BRANDON, FL 33511-4860
(941) 362-4753
(941) 362-4766
Mailing address
1320 OAKFIELD DR, BRANDON, FL 33511-4860
(941) 362-4753
(941) 362-4766
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL13150
AHCA
FL
Enumeration date
09/14/2020
Last updated
09/14/2020
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