NPI 1023209814

Kute Care Second Chance Home

Organisation Custodial Care Facility Tampa, FL

Practice location

Address: 18946 Twinberry Dr, Tampa, FL 33647-3418
Phone: (813) 528-6979

Authorised official

Name: Susan Elizabeth McLean
Title: Ceo
Phone: (813) 528-6979

Registered specialties (4)

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

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Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Private Vehicle

Transportation Services Taxonomy 347C00000X Licence M245785656880 (FL)

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Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1023209814
Entity type: Organization
NPI issued: 6 Aug 2007
Record last updated: 1 Oct 2013

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.