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Organization

LARRY'S FAMILY 1 CARE ALF, LLC

Active
Parent organization
LARRY'S FAMILY 2 CARE ALF,LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LARRY'S FAMILY 2 CARE ALF,LLC
Authorized official
LARRY VALDES (MGM)
(813) 841-9823
Entity
Organization

Contact information

Practice address
4402 W MINNEHAHA ST, TAMPA, FL 33614
(813) 841-9823
(813) 999-1077
Mailing address
4402 W MINNEHAHA ST, TAMPA, FL 33614-3638
(813) 841-9823
(813) 999-1077

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/24/2018
Last updated
04/24/2018
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