Organization
TRISTAN'S PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHANA KIRKLAND-WILLIAMS (MGR)
(813) 787-8803
Entity
Organization
Contact information
Practice address
4323 KINGSMILL CT, WESLEY CHAPEL, FL 33543-7056
(813) 787-8803
Mailing address
4323 KINGSMILL CT, WESLEY CHAPEL, FL 33543-7056
(813) 787-8803
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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