Provider Demographics
NPI:1710535471
Name:SCTT ALF, LLC
Entity Type:Organization
Organization Name:SCTT ALF, LLC
Other - Org Name:SEACOAST AT UPTOWN OAKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-972-8016
Mailing Address - Street 1:12250 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-4955
Mailing Address - Country:US
Mailing Address - Phone:813-972-8016
Mailing Address - Fax:813-972-8065
Practice Address - Street 1:12250 N 22ND ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4955
Practice Address - Country:US
Practice Address - Phone:813-972-8016
Practice Address - Fax:813-972-8065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility