| NPI | 1801269022 |
|---|---|
| Doing Business As | TIFFANY PAGE |
| Entity Type | Organization |
| Authorized Contact | TIFFANY S PAGE Owner 813-509-9436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906804) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |