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1356753438
FOUNTAIN OF YOUTH ALF INC
TAMPA, FL
NPI
1356753438
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Entity Type
Organization
Authorized Contact
AMADA HERNANDEZ
Owner
813-884-4166
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: FL AL9411)
Enumeration Date
2014-05-23
Last Update Date
2014-05-23
Business Address
FOUNTAIN OF YOUTH ALF INC
9001 BANA VILLA CT
TAMPA, FL 33635
Phone number: 813-884-4166
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Mailing Address
FOUNTAIN OF YOUTH ALF INC
9001 BANA VILLA CT
TAMPA, FL 33635-1072
Phone number: 813-884-4166
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