Organization
D. HOLMES RESIDENTIAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES Y. HOLMES (OWNER)
(813) 231-7983
Entity
Organization
Contact information
Practice address
6809 LYMAN AVE, TAMPA, FL 33610
(813) 231-7983
(813) 232-1916
Mailing address
6809 LYMAN AVE, TAMPA, FL 33610
(813) 231-7983
(813) 232-1916
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140433400
—
FL
Enumeration date
02/19/2009
Last updated
02/19/2009
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