Organization
EMMAS CREEK ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEIRSTEN SANDERS (ADMINISTRATOR)
(813) 847-5766
Entity
Organization
Contact information
Practice address
11207 COCOA BEACH DR, RIVERVIEW, FL 33569-2949
(813) 412-6560
Mailing address
11207 COCOA BEACH DR, RIVERVIEW, FL 33569-2949
(813) 847-5766
(831) 850-6633
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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