| NPI | 1003364183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY MCEACHRON Owner/Administrator 813-431-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12888) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-10-10 |