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Organization

SANCTUARY OF PEACE ALF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GUILLERMO TOLEDO (OWNER)
(813) 935-8499
Entity
Organization

Contact information

Practice address
7611 N BOULEVARD, TAMPA, FL 33604-4701
(813) 935-8499
(813) 935-8499
Mailing address
7611 N BOULEVARD, TAMPA, FL 33604-4701
(813) 935-8499
(813) 935-8499

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11764
FL

Other

Enumeration date
08/14/2012
Last updated
08/14/2012
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