SHADY OAKS LIVING CENTER NPI 1699076703

NPI Information

SHADY OAKS LIVING CENTER 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. SHADY OAKS LIVING CENTER NPI is 1699076703. The provider is registered as an organization entity type.

The provider's business location address is:

2208 E 138TH AVE
TAMPA, FL
ZIP 33613-435
Phone: (813) 978-0819
Fax: (813) 425-6925

The provider's authorized official is Joseph Wilfred Joseph .
The authorized official title is President/administrator and has the following contact phone number (813) 978-0819.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 11/4/2010.

Taxonomy Codes

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Other Identifiers

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