Organization
LILIAN ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIAN PENA (PRESIDENT)
(813) 270-6231
Entity
Organization
Contact information
Practice address
1317 W RAMBLA ST, TAMPA, FL 33612-7737
(813) 270-6231
(813) 935-0758
Mailing address
1317 W RAMBLA ST, TAMPA, FL 33612-7737
(813) 270-6231
(813) 935-0758
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11904
FL
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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