Organization
OUR PALACEE ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAMARYS D REYES (ADMINISTRATOR)
(813) 510-8628
Entity
Organization
Contact information
Practice address
6906 N GLEN AVE, TAMPA, FL 33614-4506
(813) 510-8628
Mailing address
6906 N GLEN AVE, TAMPA, FL 33614-4506
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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