Provider Demographics
NPI:1326463340
Name:TORIA'S ASSISTED LIVING FACILITY 2
Entity Type:Organization
Organization Name:TORIA'S ASSISTED LIVING FACILITY 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-361-9328
Mailing Address - Street 1:PO BOX 6457
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33508-6007
Mailing Address - Country:US
Mailing Address - Phone:813-361-9328
Mailing Address - Fax:
Practice Address - Street 1:613 FOREST HILLS DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-3825
Practice Address - Country:US
Practice Address - Phone:813-315-9866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZAL11326310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL688145996Medicaid
FLAL11326OtherLICENSE NUMBER