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Organization

HERITAGE ALF OF PLANT CITY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAM E SMITH (ED)
(813) 752-1648
Entity
Organization

Contact information

Practice address
1307 E BAKER ST, PLANT CITY, FL 33563-5801
(813) 752-1648
(813) 764-8270
Mailing address
1307 E BAKER ST, PLANT CITY, FL 33563-5801
(813) 752-1648
(813) 764-8270

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5108
FL

Other

Enumeration date
11/09/2012
Last updated
11/09/2012
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