| NPI | 1013274091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA LLANTO MANAGAD Administrator 813-494-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9000) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |