| NPI | 1043570062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY M SEGARRA Vice President 813-210-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11889) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |