Organization
CONSUELO'S ALF II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASSIEL REYNALDO (PRESIDENT)
(813) 775-8689
Entity
Organization
Contact information
Practice address
4335 WALLACE CIR, TAMPA, FL 33611-3437
(813) 775-8689
(813) 839-7495
Mailing address
4335 WALLACE CIR, TAMPA, FL 33611-3437
(813) 775-8689
(813) 839-7495
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12923
FL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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