| NPI | 1033191499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY FREENY RN Administrator 941-723-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL ALF10745) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-22 |