Healthcare Provider Details

I. General information

NPI: 1316372923
Provider Name (Legal Business Name): FLORIDA LIVING OPTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 W LUMSDEN RD
BRANDON FL
33511-6280
US

IV. Provider business mailing address

859 W LUMSDEN RD
BRANDON FL
33511-6280
US

V. Phone/Fax

Practice location:
  • Phone: 813-661-8998
  • Fax: 813-661-3725
Mailing address:
  • Phone: 813-661-8998
  • Fax: 813-661-3725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL9949
License Number StateFL

VIII. Authorized Official

Name: DEBORAH FRANKLIN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 813-679-7533