Organization
PALM AVENUE BAPTIST TOWER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA M ZULUAGA (ADMINISTRATOR)
(813) 223-2686
Entity
Organization
Contact information
Practice address
215 E PALM AVE, TAMPA, FL 33602-2236
(813) 223-2686
(813) 223-6983
Mailing address
215 E PALM AVE, TAMPA, FL 33602-2236
(813) 223-2686
(813) 223-6983
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10783
FL
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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