JUDITH'S ASSISTED LIVING FACILITY, INC
Nursing at Hiawatha St, Tampa, FL

License number
Florida 9484
Category
Nursing
Type
Assisted Living Facility
Owner
Name: RUBEN DOMOGUEZ
Title: ADMINISTRATOR
Phone: (813) 453-2480
Address
Address
4542 WEST Hiawatha St, Tampa, FL 33614
National Provider ID: 1831520246
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JUDITH'S ASSISTED LIVING FACILITY, INC at bizstanding.com

Judith's Assisted Living Facility

4542 W Hiawatha St, Tampa, FL 33614

Status:
Inactive
Industry:
Residential Care Services
Doing business as:
Judith's Assisted Living Facility, Inc
Registration:
Feb 5, 2003
State ID:
P03000014263
Business type:
Domestic for Profit Corporation
President, Directors:
Yudith Dominguez (Director),Ruben Dominguez President, Director, inactive

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