Organization
ACOSTA CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISETTE ACOSTA (PRESIDENT)
(813) 340-8564
Entity
Organization
Contact information
Practice address
2411 W NORTH B ST, TAMPA, FL 33609-2375
(813) 340-8564
Mailing address
2411 W NORTH B ST, TAMPA, FL 33609-2375
(813) 340-8564
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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