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NPI Code Detail

MEDICARE: VALDESPINO ALF INC.

MEDICARE: VALDESPINO ALF INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityAL11290FL

General Provider Information

NPI Number : 1811297666
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALDESPINO ALF INC.
Provider Business Mailing Address
First Line : 3204 W LEROY ST
Second Line :
City : TAMPA
State : FL
Zip : 33607-1126
Country : US
Telephone Number : 813-300-3273
Fax Number :
Provider Business Practice Location Address
First Line : 3204 W LEROY ST
Second Line :
City : TAMPA
State : FL
Zip : 33607-1126
Country : US
Telephone Number : 813-300-3273
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : ANA R VIERA
Credential :
Telephone Number : 813-300-3273
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/27/2010

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Directions to “VALDESPINO ALF INC. ” Practice Location

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