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Organization

A PLACE TO GROW LCC ALF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HEATHER TOLEDO (OWNER)
(813) 469-6764
Entity
Organization

Contact information

Practice address
109 VALLEY DR, BRANDON, FL 33510-2545
(813) 689-6346
(813) 689-6346
Mailing address
109 VALLEY DR, BRANDON, FL 33510-2545
(813) 689-6346
(813) 689-6346

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 12293
FL

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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