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Organization

A1A LARIMER GROUP HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA AMELIA CARRALERO (ADMINISTRATOR)
(305) 803-9960
Entity
Organization

Contact information

Practice address
7105 LARIMER CT, TAMPA, FL 33615-2950
(305) 803-9960
Mailing address
7105 LARIMER CT, TAMPA, FL 33615-2950
(305) 803-9960

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
02/09/2022
Last updated
02/09/2022
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