| NPI | 1164013702 |
|---|---|
| Doing Business As | CONCORDIA VILLAGE OF TAMPA |
| Entity Type | Organization |
| Authorized Contact | BRIAN HORTERT COO 724-352-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |