Organization
HERITAGE OAKS ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIE G MACALINAO MBA (PRESIDENT)
(813) 352-3569
Entity
Organization
Contact information
Practice address
10759 CORY LAKE DR, TAMPA, FL 33647-2725
(813) 352-3569
Mailing address
10759 CORY LAKE DR, TAMPA, FL 33647-2725
(813) 352-3569
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL4906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003855800
—
FL
Enumeration date
12/03/2015
Last updated
12/03/2015
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