JOHN KNOX VILLAGE OF TAMPA BAY INC NPI 1760479901

NPI Information

JOHN KNOX VILLAGE OF TAMPA BAY INC 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. JOHN KNOX VILLAGE OF TAMPA BAY INC NPI is 1760479901. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph's John Knox Village.

The provider's business location address is:

4100 E. FLETCHER AVE
TAMPA, FL
ZIP 33613-863
Phone: (813) 632-2455
Fax: (813) 632-2388

The provider's authorized official is Lisa Vicario Lyons .
The authorized official title is Executive Director and has the following contact phone number (813) 632-2391.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 11/7/2014.

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:

Other Identifiers

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