OrganizationActive
Patty'S House 4 LLC
NPI 1922401488 · Assisted Living Facility · Dover, FL
Provider details
- NPI number
- 1922401488
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tonya Mayo, Owner(813) 742-8034
- License
- AL12242 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2805 Jerry Smith Rd
Dover, FL 33527-5449
Phone: (813) 752-8034
Approximate (ZIP-level) locationGet directions
Mailing address
2805 Jerry Smith Rd
Dover, FL 33527-5449
Registry dates
- Enumerated
- 2014-09-29
- Last updated
- 2014-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.