| NPI | 1013313246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZER ALCANTARA DIOSO Administrator 727-799-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL6134) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |