Organization
MEMORY LANE COTTAGE AT TAMPA PALMS, LLC
Active
Other names
Memory Lane Cottage
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JEAN IRISH (ADMINISTRATOR)
(813) 632-1270
Entity
Organization
Contact information
Practice address
5175 CYPRESS PRESERVE DR, TAMPA, FL 33647-3674
(813) 632-1270
(813) 632-1272
Mailing address
5175 CYPRESS PRESERVE DR, TAMPA, FL 33647-3674
(813) 632-1270
(813) 632-1272
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
09/12/2023
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