GENESIS ALF OF TAMPA BAY INC NPI 1912322801

NPI Information

GENESIS ALF OF TAMPA BAY, INC is an assisted living facility in Brandon, 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. GENESIS ALF OF TAMPA BAY, INC NPI is 1912322801. The provider is registered as an organization entity type.

The provider's business location address is:

714 VILLAGE PL
BRANDON, FL
ZIP 33511-240
Phone: (813) 638-5803

The provider's authorized official is Gladys Kanodereka .
The authorized official title is Secretary and has the following contact phone number (813) 638-5803.

The enumeration date for this NPI number is 2/28/2014 and was last updated on 2/28/2014.

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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