Organization
CASA SANTA MARTHA ALF
Active
Other names
Casa Santa Martha ALF
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO AGUILA (ADMINISTRATOR)
(813) 870-9086
Entity
Organization
Contact information
Practice address
1917 W MOHAWK AVE, TAMPA, FL 33603-1055
(813) 870-9086
(813) 870-9086
Mailing address
1917 W MOHAWK AVE, TAMPA, FL 33603-1055
(813) 870-9086
(813) 870-9086
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12121
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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