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Mrs. Mary Southwell
Assisted Living Facility in Tampa, Florida
NPI 1811353782

Mary Southwell is an Assisted Living Facility based in Seffner, FL. Mary Southwell practices in Tampa, FL. The NPI Number for Mary Southwell is 1811353782 and holds a License No. AL12719 (Florida).

The current practice location address for Mary Southwell is 2601 Campus Hill Dr, Tampa, FL and can be reached out via phone at 813-978-8203 and via fax at 813-978-8203.

Location: 2601 Campus Hill Dr, Tampa, FL, 33584-5562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811353782
Provider Name
Mary Southwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2601 Campus Hill Dr, Tampa, FL, 33584-5562
Phone Number
813-978-8203
Fax Number
813-978-8203
Provider Enumeration Date
01/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015721500 05 FL
institution
Provider Business Practice Location Address Details
Address
2601 Campus Hill Dr
City
Tampa
State
Florida
Zip
33612-4722
Phone Number
813-978-8203
Fax Number
813-978-8203
person
Provider Business Mailing Address Details
Address
2601 Campus Hill Dr
City
Tampa
State
Florida
Zip
33612-4722
Phone Number
813-978-8203
Fax Number
813-978-8203
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL12719 (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.
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