Organization
AMALIA GARDENS ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGLAY FUMERO (OWNER/ADMINISTRATOR)
(813) 300-6726
Entity
Organization
Contact information
Practice address
2411 W NORTH B ST, TAMPA, FL 33609-2375
(813) 300-6726
Mailing address
2411 W NORTH B ST, TAMPA, FL 33609-2375
(813) 300-6726
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12253
FL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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