Organization
MELBA LEE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELBA ESTELLA RIVERA (CEO/ADMINISTRATOR)
(813) 770-0312
Entity
Organization
Contact information
Practice address
1101 WILLOW PINES CT E, TAMPA, FL 33604-6449
(813) 542-6000
(813) 533-6791
Mailing address
1101 WILLOW PINES CT E, TAMPA, FL 33604-6449
(813) 542-6000
(813) 533-6791
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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