SHADY OAKS LIVING CENTER
Nursing at 138 Ave, Tampa, FL

License number
Florida AL 8450
Category
Nursing
Type
Assisted Living Facility
License number
Florida AL 8450
Category
Nursing
Type
Assisted Living, Mental Illness
Owner
Name: MR. JOSEPH WILFRED JOSEPH
Title: PRESIDENT/ADMINISTRATOR
Phone: (813) 978-0819
Address
Address
2208 E 138Th Ave, Tampa, FL 33613
National Provider ID: 1699076703
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SHADY OAKS LIVING CENTER at bizstanding.com

SHADY OAKS LIVING CENTER, INC

Tampa, FL

Status:
Inactive
Industry:
Residential Care Services
Inactive reason:
REINSTATEMENT
Registration:
Sep 24, 1999
Inactive since:
Oct 1, 2010
Addresses:
2208 E 138 Ave, Tampa, FL 33613 (Physical)
Tampa, FL 33682 (Mailing)
State ID:
P99000085534
Business type:
Florida Profit Corporation
Vice Presidents:
Joseph W Joseph (President), 2208 E 138 Ave, Tampa, FL 33613 (Physical),Geetha Joseph (Vice President), 2208 E 138 Ave, Tampa, FL 33613 (Physical)
Agent:
Joseph Joseph,2208 E 138 Ave, Tampa, FL 33613 (Physical)
EIN:
59-3599079

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