Organization
SPECIALLY FIT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEPHAN OLIVER (CERTIFIED ALF ADMIN)
(813) 389-9474
Entity
Organization
Contact information
Practice address
2224 ARCH MCDONALD DR, DOVER, FL 33527-6342
(727) 831-2829
Mailing address
11118 LAKESIDE VISTA DR, RIVERVIEW, FL 33569-2919
(727) 831-2829
(888) 814-0945
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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