Healthcare Provider Details

I. General information

NPI: 1114838653
Provider Name (Legal Business Name): GAIL'S ALF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 E OSBORNE AVE
TAMPA FL
33603-4019
US

IV. Provider business mailing address

811 E OSBORNE AVE
TAMPA FL
33603-4019
US

V. Phone/Fax

Practice location:
  • Phone: 813-239-3322
  • Fax:
Mailing address:
  • Phone: 813-239-3322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: GAIL COLEMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 813-690-7579