Organization
SANTA LUCIA ALF,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENES I FONSECA (ADMINISTRATOR)
(813) 935-1710
Entity
Organization
Contact information
Practice address
2706 WESTHIGHT AVE, TAMPA, FL 33614-2859
(813) 935-1710
Mailing address
2706 WESTHIGHT AVE, TAMPA, FL 33614-2859
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12334
FL
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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