Organization
SAN JOSE ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE OCTAVIO OSORIO (PRESIDENT)
(813) 766-8937
Entity
Organization
Contact information
Practice address
8111 N OLA AVE, TAMPA, FL 33604-2923
(813) 252-5134
(813) 533-9797
Mailing address
8111 N OLA AVE, TAMPA, FL 33604-2923
(813) 252-5134
(813) 533-9797
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12874
FL
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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