Organization
RONNY'S ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAINES PERDOMO (OWNER/ADMINISTRATOR)
(813) 449-3877
Entity
Organization
Contact information
Practice address
8016 DELL DR, TAMPA, FL 33615-4621
(813) 449-3877
(844) 633-5300
Mailing address
2903 W SAINT CONRAD ST, TAMPA, FL 33607-2922
(813) 449-3877
(844) 633-5300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023553100
—
FL
Enumeration date
07/01/2017
Last updated
03/13/2018
Update your record
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