Organization
GARDEN OASIS ALF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS KANODEREKA RN (OWNER)
(813) 530-0909
Entity
Organization
Contact information
Practice address
515 HICKORY LAKE DR, BRANDON, FL 33511-6337
(813) 699-4142
(813) 413-7740
Mailing address
515 HICKORY LAKE DR STE B, BRANDON, FL 33511-6337
(813) 330-8424
(813) 315-8233
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12249
FL
Other
Enumeration date
10/19/2015
Last updated
03/03/2020
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