Individual provider · Type 1 NPI

James A. Fagbodun, ADMINISTRATOR

Assisted Living Facility · Tampa, FL

NPI number 1699126326 Active

Practice location

10648 Lucaya Dr
Tampa, FL 33647-3530

Call (813) 230-7628 Map

Fax (813) 991-9749

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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 1699126326

James A. Fagbodun, ADMINISTRATOR's National Provider Identifier is 1699126326, issued on Jun 23, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tampa, FL. The record was last updated on Jul 4, 2016.