NPI 1598172256

Hernandez Alf INC

Organisation Mental Illness Community Based Residential Treatment Facility Tampa, FL

Practice location

Address: 2507 W Idlewild Ave, Tampa, FL 33614-6107
Phone: (813) 270-6040
Fax: (813) 531-6824
Mailing address: 2507 W Idlewild Ave, Tampa, FL 33614

Authorised official

Name: Lisandra Hernandez
Title: Owner
Phone: (813) 270-6040

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence AL11932 (FL)

Other Community Based Residential Treatment Facility, Mental Illness providers in Florida →

Registry record

NPI: 1598172256
Entity type: Organization
NPI issued: 15 Jul 2014
Record last updated: 15 Jul 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.