Organization
GENESIS ALF OF BRANDON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELECIA RAMBERT (ADMINISTRATOR)
(863) 425-3305
Entity
Organization
Contact information
Practice address
714 VILLAGE PL, BRANDON, FL 33511-6240
(863) 425-3305
(888) 371-6124
Mailing address
714 VILLAGE PL, BRANDON, FL 33511-6240
(863) 425-3305
(888) 371-6124
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
12132
FL
310400000X
Assisted Living Facility
Primary
12132
FL
Other
Enumeration date
02/09/2014
Last updated
02/09/2014
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