Organization
PLEASANT MANOR ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGIE A. BABAS (OWNER/MANAGER)
(813) 543-5800
Entity
Organization
Contact information
Practice address
6929 DURANT RD, PLANT CITY, FL 33567-3266
(813) 737-1736
(813) 381-5330
Mailing address
6929 DURANT RD, PLANT CITY, FL 33567-3266
(813) 737-1736
(813) 381-5330
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001780600
—
FL
05
—
002066800
—
FL
Enumeration date
02/11/2011
Last updated
02/11/2011
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