Organization
KAY & JAY 09 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONALDINE ELISCARD (OWNER)
(941) 565-9193
Entity
Organization
Contact information
Practice address
1411 E WATERS AVE, TAMPA, FL 33604-3319
(813) 935-8978
Mailing address
1411 E WATERS AVE, TAMPA, FL 33604-3319
(813) 935-8978
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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