Whalio Doctors

NPI 1013326446

Hernandez Alf II LLC

Organisation Mental Illness Community Based Residential Treatment Facility Tampa, FL

Practice location

Address
3010 W Haya St, Tampa, FL 33614-6735
Phone
(813) 270-6040
Fax
(813) 531-6824
Mailing address
3010 W Haya St, Tampa, FL 33614

Authorised official

Name
Lisandra Hernandez
Title
Administrator
Phone
(813) 270-6040

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence AL12543 (FL)

Registry record

NPI
1013326446
Entity type
Organization
NPI issued
11 Aug 2014
Record last updated
11 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.