Yetey Enterprises Inc Dba Immanuel At Ybor Alf

NPI 1063836781 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1063836781
Enumeration Date 02/17/2014
Last Updated 02/17/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ABIODUN ABIODUN
Position ADMINISTRATOR
Phone (813) 247-5852
Fax
Practice Location
3213 E 11TH AVE
TAMPA FL, 33605-4317, US
Phone (813) 247-5852
Fax
Business Location
1603 PROWMORE DR
BRANDON FL, 33511-2805, US
Phone (813) 247-5852
Fax
Toxanomy
Taxonomy Code 3104A0625X
License State Florida
License Number AL10756
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According to our database, Yetey Enterprises Inc Dba Immanuel At Ybor Alf NPI is 1063836781, taxonomy code is 3104A0625X and license number is AL10756, license state is located at Florida. Yetey Enterprises Inc Dba Immanuel At Ybor Alf physically located at 3213 E 11th Ave, Tampa FL, 33605-4317. NPI Number 1033115704 has the healthcare provider type.

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1063836781 NPI number is provided on an as is basis without warranty of any kind. 1063836781 is maintained by the National Plan & Provider Enumeration System. The contents of Yetey Enterprises Inc Dba Immanuel At Ybor Alf are for informational purposes only.