Organization
ALBANY AVENUE ADULT CONGREGATE LIVING FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE LUE MANESCALA (VICE PRESIDENT)
(813) 253-0034
Entity
Organization
Contact information
Practice address
211 N ALBANY AVE, TAMPA, FL 33606-1502
(813) 253-0034
(813) 258-3400
Mailing address
211 N ALBANY AVE, TAMPA, FL 33606-1502
(813) 253-0034
(813) 258-3400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6044
FL
Other
Enumeration date
01/13/2007
Last updated
08/15/2007
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