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Organization

GOLDEN AGE ALF OF TAMPA BAY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN ALEJANDRO TOLEDO (OWNER)
(813) 877-6581
Entity
Organization

Contact information

Practice address
3328 W SPRUCE ST, TAMPA, FL 33607-4225
(813) 877-6581
(813) 877-6584
Mailing address
3328 W SPRUCE ST, TAMPA, FL 33607-4225
(813) 877-6581
(813) 877-6584

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12443
FL

Other

Enumeration date
01/30/2014
Last updated
01/30/2014
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