Organization
FAMILY HOME CARE ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRENIA BAEZ OWNER/ADMINISTRATOR (ADMINISTRATOR)
(813) 965-5394
Entity
Organization
Contact information
Practice address
6214 N THATCHER AVE, TAMPA, FL 33614-4837
(813) 965-5394
(813) 443-6894
Mailing address
6214 N THATCHER AVE, TAMPA, FL 33614-4837
(813) 965-5394
(813) 443-6894
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
FL
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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