Organization
AVA CARES, LLC
Active
Other names
Ava Cares VI
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER THOMAS DEROSA (OWNER)
(813) 300-6177
Entity
Organization
Contact information
Practice address
1108 BLACK KNIGHT DR, VALRICO, FL 33594-5800
(813) 300-6177
Mailing address
10107 PADDOCK OAKS DR, RIVERVIEW, FL 33569-8741
(813) 300-6177
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12747
FL
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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