Organization
GRAND 14 LLC
Active
Other names
SomePlace Like Home ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARLENE M CLEMETSON (ADMINISTRATOR)
(813) 931-5599
Entity
Organization
Contact information
Practice address
10109 N WILLOW AVE, TAMPA, FL 33612-7350
(813) 931-5599
(813) 931-4440
Mailing address
10109 N WILLOW AVE, TAMPA, FL 33612-7350
(813) 931-5599
(813) 931-4440
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10036
FL
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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