Healthcare Provider Details
I. General information
NPI: 1124250949
Provider Name (Legal Business Name): HBP LEASECO, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2009
Last Update Date: 08/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2517 LITTLE RD
ARLINGTON TX
76016-1314
US
IV. Provider business mailing address
5426 BAY CENTER DR SUITE 600
TAMPA FL
33609-3444
US
V. Phone/Fax
- Phone: 813-287-3900
- Fax:
- Phone: 813-287-3900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 311500000X |
| Taxonomy | Alzheimer Center (Dementia Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JON
DELUCA
Title or Position: MANAGER
Credential:
Phone: 813-287-3900