Organization
ELYSIAN GARDENS LLC
Active
Other names
ELYSIAN GARDENS ASSISTED LIVING FACILITY OF TAMPA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO ESCOBAR (MANAGER)
(786) 371-4396
Entity
Organization
Contact information
Practice address
312 E 124TH AVE, TAMPA, FL 33612-4305
(813) 932-3618
Mailing address
312 E 124TH AVE, TAMPA, FL 33612-4305
(813) 932-3618
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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