MARY SOUTHWELL

TAMPA, FL
NPI1811353782
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: FL  Al12719)
Enumeration Date2016-01-07
Last Update Date2016-01-07
Business Address
Mrs. MARY SOUTHWELL
2601 CAMPUS HILL DR
TAMPA, FL 33612-4722
Phone number: 813-978-8203
Mailing Address
Mrs. MARY SOUTHWELL
1472 LAKE SHORE RANCH DR
SEFFNER, FL 33584-5562
Phone number: 813-503-2441