Organization
A LA MY LOVE ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORISA GOMEZ CRUZ (ADMINISTRATOR)
(813) 393-7191
Entity
Organization
Contact information
Practice address
6821 DOVER CT, TAMPA, FL 33634-4708
(813) 393-7191
Mailing address
6821 DOVER CT, TAMPA, FL 33634-4708
(813) 393-7191
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12340
FL
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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