Organization
MEMORIAL ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUSEBIO AQUINO (OWNER)
(813) 401-2527
Entity
Organization
Contact information
Practice address
14801 54TH WAY N, CLEARWATER, FL 33760-2606
(813) 401-2527
Mailing address
14801 54TH WAY N, CLEARWATER, FL 33760-2606
(813) 401-2527
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102061800
—
FL
Enumeration date
06/24/2020
Last updated
06/24/2020
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