Organization
FAMILY RESIDENCES OF TAMPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE R FORD SR. BSBM (PRESIDENT)
(813) 374-6121
Entity
Organization
Contact information
Practice address
14508 MIDLAND GREENS PL, TAMPA, FL 33625-3348
(813) 374-6121
(813) 374-6121
Mailing address
14508 MIDLAND GREENS PL, TAMPA, FL 33625-3348
(813) 374-6121
(813) 374-6121
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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