Organization · Type 2 NPI

Shady Oaks Living Center

Assisted Living Facility · Tampa, FL

NPI number 1699076703 Active

Practice location

2208 E 138th Ave
Tampa, FL 33613-4435

Call (813) 978-0819 Map

Fax (813) 425-6925

Mailing address

PO Box 280339
Tampa, FL 33682-0339

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL 8450 (FL)
Assisted Living Facility (Mental Illness) 3104A0625XAL 8450 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1699076703

Shady Oaks Living Center's National Provider Identifier is 1699076703, issued on Nov 4, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tampa, FL. The record was last updated on Nov 4, 2010.