| NPI | 1003175936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T HUBA Administrator 727-623-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12103) |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2012-05-13 |