COLLIN BUCHANAN

TAMPA, FL
NPI1518639939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL  6907064)
Enumeration Date2021-10-04
Last Update Date2021-10-04
Business Address
COLLIN BUCHANAN
3715 E POWHATAN AVE
TAMPA, FL 33610-3726
Phone number: 813-523-5963
Mailing Address
COLLIN BUCHANAN
3715 E POWHATAN AVE
TAMPA, FL 33610-3726
Phone number: 813-523-5963
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