Organization
AVA CARES, LLC
Active
Other names
Ava Cares V
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER T DEROSA (OWNER)
(813) 300-6177
Entity
Organization
Contact information
Practice address
306 W GRANT ST, PLANT CITY, FL 33563-6828
(813) 300-6177
Mailing address
1007 BROOKER RD, BRANDON, FL 33511-7619
(813) 300-6177
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-11771
FL
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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