Organization
COLANDTAL ENTERPRISES, INC
Active
Other names
ComForcare Senior Services - NW Hillsborough
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLLIN DE GOURVILLE (PRESIDENT)
(813) 269-2273
Entity
Organization
Contact information
Practice address
5121 EHRLICH RD, BLDG 101, SUITE G, TAMPA, FL 33624-2015
(813) 269-2273
(813) 269-2283
Mailing address
PO BOX 341123, TAMPA, FL 33694-1123
(813) 269-2273
(813) 269-2283
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
06/16/2009
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