| NPI | 1003204454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELA HILSMAN Owner/Administrator 813-672-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12602) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |