Organization
CONCORDIS ALF TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH FALLON (ACCOUNTING)
(352) 207-7873
Entity
Organization
Contact information
Practice address
12110 MORRIS BRIDGE RD, TEMPLE TERRACE, FL 33637-1924
(813) 694-2153
(512) 420-9276
Mailing address
3724 JEFFERSON ST STE 317, AUSTIN, TX 78731-6225
(352) 229-3263
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125681400
—
FL
Enumeration date
03/25/2025
Last updated
03/25/2025
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