Organization
COX ADULT LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE THOMAS (OWNER/ADMINISTRATOR)
(813) 737-1551
Entity
Organization
Contact information
Practice address
1906 OSCAR COX TRL, PLANT CITY, FL 33567-3795
(813) 737-1551
Mailing address
1906 OSCAR COX TRL, PLANT CITY, FL 33567-3795
(813) 737-1551
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140192100
—
FL
Enumeration date
08/18/2014
Last updated
08/18/2014
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