Kute Care Second Chance Home

NPI 1023209814 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1023209814
Enumeration Date 08/06/2007
Last Updated 10/01/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN ELIZABETH SUSAN
Position CEO
Phone (813) 528-6979
Fax
Practice Location
18946 TWINBERRY DR
TAMPA FL, 33647-3418, US
Phone (813) 528-6979
Fax
Business Location
18946 TWINBERRY DR
TAMPA FL, 33647-3418, US
Phone (813) 528-6979
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State
License Number
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According to our database, Kute Care Second Chance Home NPI is 1023209814, taxonomy code is 311ZA0620X Kute Care Second Chance Home physically located at 18946 Twinberry Dr, Tampa FL, 33647-3418. NPI Number 1033115704 has the healthcare provider type.

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1023209814 NPI number is provided on an as is basis without warranty of any kind. 1023209814 is maintained by the National Plan & Provider Enumeration System. The contents of Kute Care Second Chance Home are for informational purposes only.