10D2175775 CLIA NUMBER - ROSECASTLE AT DELANEY CREEK

Laboratory Demographics

CLIA Number: 10D2175775

Facility Name: ROSECASTLE AT DELANEY CREEK

Facility Address:
320 S LAKEWOOD DR
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 655-8858

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1912415928

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	10D2175775
LAB Type	Assisted Living Facility
Facility Name	ROSECASTLE AT DELANEY CREEK
Street	320 S LAKEWOOD DR
City	BRANDON
State	FL
ZIP	33511
Phone	813 655-8858
CertificateType	4
CertificateEffectiveDate	12/2/2023
CertificateExpirationDate	12/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024