Organization
MERCY OF TAMPA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAYEMI FADIORA (OWNER)
(813) 843-3326
Entity
Organization
Contact information
Practice address
6428 EDEN LN, TAMPA, FL 33634-4710
(813) 843-3326
Mailing address
6428 EDEN LN, TAMPA, FL 33634-4710
(813) 843-3326
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685855496
—
FL
Enumeration date
02/01/2022
Last updated
02/01/2022
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