Shallow Assisted Living LLC
NPI #1235694951 in Port Richey, Florida
Provider Information
- NPI Number
- 1235694951
- Entity Type
- Organization
- Organization Name
- Shallow Assisted Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 6, 2019
- Last Updated
- Feb 6, 2019
Practice Location
- Address
- 9035 SHALLOWFORD LN
- City
- Port Richey
- State
- Florida
- ZIP Code
- 34668-4837
- Phone
- (813) 895-4424
Authorized Official
- Name
- YULEISIS MILLAN
- Title
- ADMINISTRATOR
- Phone
- (813) 947-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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