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Organization

ANGELS GARDEN ACLF INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DELIA VALDES-DIAZ VICE PRESIDENT (ADMINISTRATOR)
(813) 933-4585
Entity
Organization

Contact information

Practice address
8003 N ROME AVE, TAMPA, FL 33604-3820
(813) 933-4585
(813) 933-3785
Mailing address
8003 N ROME AVE, TAMPA, FL 33604-3820
(813) 933-4585
(813) 933-3785

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
311500000X
Alzheimer Center (Dementia Center)
315D00000X
Inpatient Hospice

Other

Enumeration date
03/17/2011
Last updated
03/17/2011
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