Organization
BRISTOL TERRACE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREM R. SHAH M.D. (MANAGER)
(813) 280-2000
Entity
Organization
Contact information
Practice address
2733 MCCAMPBELL AVE, NASHVILLE, TN 37214-2913
(615) 889-8100
Mailing address
201 N FRANKLIN ST, SUITE 2570, TAMPA, FL 33602-5182
(813) 280-2000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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