Organization
ANNIES AT LAKE MAGDALENE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONIA BOYKINS (OWNER)
(813) 494-7116
Entity
Organization
Contact information
Practice address
13202 LAKE MAGDALENE BLVD, TAMPA, FL 33618-3008
(813) 494-7116
Mailing address
13444 CANOPY CREEK DR, TAMPA, FL 33625-5916
(813) 494-7116
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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