Provider Demographics
NPI:1578859187
Name:DE LOS RIOS ALF CORP
Entity Type:Organization
Organization Name:DE LOS RIOS ALF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:GISELE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LOS RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-205-3363
Mailing Address - Street 1:7540 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-2936
Mailing Address - Country:US
Mailing Address - Phone:813-205-3363
Mailing Address - Fax:
Practice Address - Street 1:7540 MEADOW DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-2936
Practice Address - Country:US
Practice Address - Phone:813-205-3363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility