Patty's House 4 LLC

NPI #1922401488 in Dover, Florida

Provider Information

NPI Number
1922401488
Entity Type
Organization
Organization Name
Patty's House 4 LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 29, 2014
Last Updated
Sep 29, 2014

Practice Location

Address
2805 JERRY SMITH RD
City
Dover
State
Florida
ZIP Code
33527-5449
Phone
(813) 752-8034

Authorized Official

Name
TONYA MAYO
Title
OWNER
Phone
(813) 742-8034

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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