Organization
STILLWATER ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN WILLIAM SHARPE (OWNER)
(865) 816-7433
Entity
Organization
Contact information
Practice address
504 APACHE TRL, BRANDON, FL 33511-8048
(865) 816-7433
(813) 441-8898
Mailing address
7412 CACTUS DAHLIA AVE, TAMPA, FL 33619-6910
(865) 816-7433
(813) 441-8898
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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