NPI 1174937700

Juanita Miller

Organisation Adult Care Home Facility Tampa, FL

Practice location

Address: 8203 Dahlia Ave, Tampa, FL 33619-7431
Phone: (813) 385-8188
Fax: (813) 574-7215

Authorised official

Name: Juanita Miller
Title: Administrator
Phone: (813) 385-8188

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6906352 (FL)

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Registry record

NPI: 1174937700
Entity type: Organization
NPI issued: 11 Jun 2014
Record last updated: 11 Jun 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.