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Shady Oaks Living Center
Assisted Living Facility (Mental Illness) in Tampa, Florida
NPI 1699076703

Shady Oaks Living Center is an Assisted Living Facility (Mental Illness) based in Tampa, FL and is specialized in Assisted Living, Mental Illness. Shady Oaks Living Center practices in Tampa, FL. The NPI Number for Shady Oaks Living Center is 1699076703 and holds a License No. AL 8450 (Florida).

The current practice location address for Shady Oaks Living Center is 2208 E 138Th Ave, Tampa, FL and can be reached out via phone at 813-978-0819 and via fax at 813-425-6925.

Location: 2208 E 138Th Ave, Tampa, FL, 33682-0339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699076703
Provider Name
Shady Oaks Living Center
Credential
Provider Entity Type
Organization
Address
2208 E 138Th Ave, Tampa, FL, 33682-0339
Phone Number
813-978-0819
Fax Number
813-425-6925
Provider Enumeration Date
11/04/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140792900 05 FL
institution
Provider Business Practice Location Address Details
Address
2208 E 138Th Ave
City
Tampa
State
Florida
Zip
33613-4435
Phone Number
813-978-0819
Fax Number
813-425-6925
person
Provider Business Mailing Address Details
Address
2208 E 138Th Ave
City
Tampa
State
Florida
Zip
33613-4435
Phone Number
813-978-0819
Fax Number
813-425-6925
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL 8450 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
AL 8450 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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