JENNY'S ASSISTED LIVING FACILITY
Nursing at Tampa St, Lutz, FL

License number
Florida AL11700
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MRS. JENNY M SEGARRA
Title: VICE-PRESIDENT/ADMINISTRATOR
Phone: (813) 210-0982
Address
Address
16116 Tampa St, Lutz, FL 33548
National Provider ID: 1164705901
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JENNY'S ASSISTED LIVING FACILITY at bizstanding.com

JENNY'S ASSISTED LIVING FACILITY, INC

Lutz, FL  -  Tampa, FL

Status:
Inactive
Inactive reason:
Name Change Amendment
Registration:
Nov 16, 2006
Inactive since:
Jul 22, 2009
Addresses:
16116 Tampa St, Lutz, FL 33548 (Physical)
16547 Frst Lk Dr, Tampa, FL 33624 (Mailing)
State ID:
P06000144024
Business type:
Florida Profit Corporation
S:
Osvaldo Morales, 16116 Tampa St, Lutz, FL 33548 (Physical),Jenny M Segarra, 16116 Tampa St, Lutz, FL 33548 (Physical)
Agent:
Morales, Osvaldo,16116 Tampa St, Lutz, FL 33548 (Physical)
FEI/EIN:
205992646

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