Organization · NPI-2

Abuelo Feliz Home 2 LLC

Assisted Living Facility · Tampa, FL

NPI number1427683226
StatusActive
Last updated in NPPESMar 12, 2020

Details

NPI
1427683226
Entity type
Organization (NPI-2)
Legal business name
Abuelo Feliz Home 2 LLC
Organization subpart
No
Enumeration date
Mar 12, 2020
Certification date
Mar 12, 2020
Last updated
Mar 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes
385H00000X Respite Care––

Practice location

4535 W Jean St
Tampa, FL 33614-3610

Phone 813-495-3660

Mailing address

4535 W Jean St
Tampa, FL 33614-3610

Authorized official

Carlos M De Armas
Owner
8134953660

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