| NPI | 1053734301 |
|---|---|
| Doing Business As | YETEY ALF,SPRINGSWATER ALF AND IMMANUEL AT YBOR ALF |
| Doing Business As | YETEY ENTERPRISES INC DBA YETEY ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | ABIODUN ADEGBOLA Tresurer/Administrator 813-930-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL9398) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2020-04-17 |