Organization
BORMEY ASSISTED LIVING FACILITIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISET RODRIGUEZ (ADMINISTRATOR)
(786) 210-9669
Entity
Organization
Contact information
Practice address
6416 AMBASSADOR DR, TAMPA, FL 33615-3402
(813) 512-8569
(813) 512-8569
Mailing address
6416 AMBASSADOR DR, TAMPA, FL 33615-3402
(813) 512-8569
(813) 512-2576
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020916400
—
FL
Enumeration date
05/15/2017
Last updated
02/22/2023
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