Doctor Name: | SHARON MOORE BUTLER |
NPI Number: | 1326279902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ALF ADMINISTRATOR |
License Number: | AL11483 |
Business Practice Address: | 1407 E Holland Ave Tampa, FL - 336126913 |
Business Phone Number: | 8139721057 |
Business Fax Number: | 8139714184 |
Mailing Address: | 1407 E Holland Ave, TAMPA |
State: | FL |
Postal Code: | 336126913 |
Phone Number: | 8139721057 |
Fax Number: | 8139714184 |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL11483 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy 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. |