Organization
CATH E-Z LIVING FACILITY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHALENE SAMS KINSLER MSM (ADMINISTRATOR)
(813) 685-5656
Entity
Organization
Contact information
Practice address
907 PINE RIDGE CIR E, BRANDON, FL 33511-6277
(813) 685-5656
(813) 685-5656
Mailing address
601 OVERLAND DR, BRANDON, FL 33511-5940
(813) 653-3945
(813) 689-9817
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12127
FL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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