Heritage View Alf Of Plant City

NPI 1003160201 - Assisted Living Facility - 310400000X

NPI Details
NPI 1003160201
Enumeration Date 11/09/2012
Last Updated 12/22/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LOUIE G LOUIE
Position PRESIDENT/CEO
Phone (813) 752-5106
Fax (813) 237-2756
Practice Location
104 N. GORDON STREET
TAMPA FL, 33563, US
Phone (813) 752-5106
Fax (813) 237-2756
Business Location
10759 CORY LAKE DRIVE
TAMPA FL, 33647, US
Phone (813) 352-3569
Fax (813) 764-8270
Toxanomy
Taxonomy Code 310400000X
License State Florida
License Number 9180
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According to our database, Heritage View Alf Of Plant City NPI is 1003160201, taxonomy code is 310400000X and license number is 9180, license state is located at Florida. Heritage View Alf Of Plant City physically located at 104 N. Gordon Street, Tampa FL, 33563. NPI Number 1033115704 has the healthcare provider type.

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1003160201 NPI number is provided on an as is basis without warranty of any kind. 1003160201 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage View Alf Of Plant City are for informational purposes only.