Thonotosassa, Fl Opco, LLC
NPI #1982061644 in Thonotosassa, Florida
Provider Information
- NPI Number
- 1982061644
- Entity Type
- Organization
- Organization Name
- Thonotosassa, Fl Opco, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 25, 2016
- Last Updated
- Jan 25, 2016
Practice Location
- Address
- 12006 MCINTOSH RD
- City
- Thonotosassa
- State
- Florida
- ZIP Code
- 33592-3838
- Phone
- (813) 986-7900
Authorized Official
- Name
- ISAAC DOLE
- Title
- MANAGER
- Phone
- (312) 724-8950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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