10D2212797 CLIA NUMBER - FLORENTINA'S HOUSE ALF CORP

Laboratory Demographics

CLIA Number: 10D2212797

Facility Name: FLORENTINA'S HOUSE ALF CORP

Facility Address:
4203 W OHIO AVE
TAMPA, FL
ZIP 33614
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Facility Phone Number: 813 252-6241

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1679998579

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	10D2212797
LAB Type	Assisted Living Facility
Facility Name	FLORENTINA'S HOUSE ALF CORP
Street	4203 W OHIO AVE
City	TAMPA
State	FL
ZIP	33614
Phone	813 252-6241
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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