| NPI | 1023382892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA CASUSKY Owner Administrator 813-817-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11663) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |