Organization
NORTH TAMPA ASSISTED LIVING FACILITY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID SAKR (OWNER)
(727) 439-5363
Entity
Organization
Contact information
Practice address
11722 N 17TH ST, TAMPA, FL 33612-5434
(813) 610-5044
Mailing address
10730 N 56TH ST STE 209, TEMPLE TERRACE, FL 33617-3611
(727) 439-5363
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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