Organization
NINI'S TLC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ENID FLEITAS (PRESIDENT)
(813) 885-2170
Entity
Organization
Contact information
Practice address
5118 EL DORADO DR, TAMPA, FL 33615-4712
(813) 885-2170
(813) 885-2183
Mailing address
5118 EL DORADO DR, TAMPA, FL 33615-4712
(813) 885-2170
(813) 885-2183
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001573800
—
FL
Enumeration date
01/05/2011
Last updated
01/05/2011
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