| NPI | 1033549019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLE LOPEZ Administrator 813-887-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8264) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |