Organization · NPI-2

Abuelo Feliz Home LLC

Assisted Living Facility · Tampa, FL

NPI number1063950087
StatusActive
Last updated in NPPESFeb 9, 2017

Details

NPI
1063950087
Entity type
Organization (NPI-2)
Legal business name
Abuelo Feliz Home LLC
Organization subpart
No
Enumeration date
Feb 9, 2017
Last updated
Feb 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living FacilityAL12964FLYes

Practice location

8625 May Cir
Tampa, FL 33614-1733

Phone 813-495-3660

Mailing address

8625 May Cir
Tampa, FL 33614-1733

Phone 813-495-3660

Authorized official

Olga Lidia Molano
Administrator
8134953660

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Assisted Living Facility providers in Tampa, FL