Good Shepherd Assisted Living Facility Of Brandon Llc

NPI 1013274091 - Assisted Living Facility - 310400000X

NPI Details
NPI 1013274091
Enumeration Date 04/16/2012
Last Updated 04/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THELMA LLANTO THELMA
Position ADMINISTRATOR
Phone (813) 684-4989
Fax (813) 684-4989
Practice Location
1801 LIDO DRIVE
BRANDON FL, 33511, US
Phone (813) 684-4989
Fax (813) 684-4989
Business Location
1801 LIDO DRIVE
BRANDON FL, 33511, US
Phone (813) 684-4989
Fax (813) 684-4989
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number AL9000
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According to our database, Good Shepherd Assisted Living Facility Of Brandon Llc NPI is 1013274091, taxonomy code is 310400000X and license number is AL9000, license state is located at Florida. Good Shepherd Assisted Living Facility Of Brandon Llc physically located at 1801 Lido Drive, Brandon FL, 33511. NPI Number 1033115704 has the healthcare provider type.

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1013274091 NPI number is provided on an as is basis without warranty of any kind. 1013274091 is maintained by the National Plan & Provider Enumeration System. The contents of Good Shepherd Assisted Living Facility Of Brandon Llc are for informational purposes only.