- Facility Name
- COLONIAL ASSISTED LIVING TAMPA LLC
- Type / Classification
- Assisted Living Facility
- Address
- 11722 N 17TH ST, TAMPA, FL 33612
- Phone Number
- (727) 697-9920
- NPI Number
- 1134718299
- Authorized Official
- SHLOMO GREENSTEIN (Managing Director)
- Enumeration Date
- 2021-01-13