Organization
NORTHDALE ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE ESPIGUL (ADMINISTRATOR)
(813) 598-2058
Entity
Organization
Contact information
Practice address
4815 CENTERBROOK CT, TAMPA, FL 33624-1046
(813) 961-5425
(813) 963-1930
Mailing address
4815 CENTERBROOK CT, TAMPA, FL 33624-1046
(813) 961-5425
(813) 963-1930
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12634
FL
Other
Enumeration date
11/24/2017
Last updated
11/24/2017
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