Patty'S House 4 LLC
Organization Active NPI Assisted Living Facility · Dover, FL
NPI 1922401488 · NPPES record last updated Sep 29, 2014
Key facts
- NPI
- 1922401488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL12242 (FL)
- Legal business name
- PATTY'S HOUSE 4 LLC
- Practice address
- 2805 Jerry Smith Rd
Dover, FL 33527-5449 - Phone
- (813) 752-8034
- NPI assigned
- Sep 29, 2014
- Organization subpart
- No
Authorized official
- Name
- Tonya Mayo
- Title
- Owner
- Phone
- (813) 742-8034
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12242 | FL | Yes |
Addresses
Primary practice location
2805 Jerry Smith Rd
Dover, FL 33527-5449
Mailing address
2805 Jerry Smith Rd
Dover, FL 33527-5449
Other providers in Dover, FL
- Jennifer Lyn Miller
- Christina Trang Nguyen
- Nurture and Bloom Postpartum Care, LLC
- Bianca E Olivieri
- Michael Steven Ortiz
- Johana Pereira
- Francesca Noelle Prestia
- Sara Kay Proctor
- Edward Craig Reller
- Jared Cole Rhodes
All providers in Dover, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.