| NPI | 1023791068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA TEMPFER Administrator/Owner 813-608-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |