Shady Oaks Living Center
Shady Oaks Living Center is an Assisted Living Facility in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
2208 E 138th AveTampa, FL 33613-4435
Phone: (813) 978-0819
Fax: (813) 425-6925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence AL 8450 (FL) |
|---|---|
| Assisted Living Facility (Mental Illness) | Taxonomy 3104A0625X · Licence AL 8450 (FL) |
Record details
| NPI number | 1699076703 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Joseph — President/Administrator · (813) 978-0819 |
| NPI enumerated | November 4, 2010 |
| Last updated in NPPES | November 4, 2010 |
| Mailing address | Po Box 280339, Tampa, FL 33682-0339 |
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