BAMBOO VILLAS ASSITED LIVING FACILITY LLC NPI 1114343837

NPI Information

BAMBOO VILLAS ASSITED LIVING FACILITY, LLC is an assisted living facility in Tampa, FL. The provider is 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. BAMBOO VILLAS ASSITED LIVING FACILITY, LLC NPI is 1114343837. The provider is registered as an organization entity type.

The provider's business location address is:

2730 W WILDER AVE
TAMPA, FL
ZIP 33614-809
Phone: (813) 766-4018

The provider's authorized official is Rodolfo Sumulong .
The authorized official title is Owner and has the following contact phone number (813) 766-4018.

The CLIA number assigned to this NPI record is 10D2212069 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2014 and was last updated on 3/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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