Organization
GOMES PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY T OGBEKHILU (ADMINISTRATOR)
(813) 506-1432
Entity
Organization
Contact information
Practice address
17607 SIMMONS RD, LUTZ, FL 33548-4596
(813) 506-1432
(813) 909-7390
Mailing address
17607 SIMMONS RD, LUTZ, FL 33548-4596
(813) 506-1432
(813) 909-7390
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 12621
FL
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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