Organization
ANGELS SENIOR LIVING AT NEW TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S BENNETT MBA (PRESIDENT)
(813) 632-6370
Entity
Organization
Contact information
Practice address
14712 N 42ND ST, TAMPA, FL 33613-2955
(813) 632-6370
Mailing address
14712 N 42ND ST, TAMPA, FL 33613-2955
(813) 632-6370
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12507
FL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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