| NPI | 1043638950 |
|---|---|
| Doing Business As | DBA YUDITH'S ASSISTED LIVING FACILITY II |
| Entity Type | Organization |
| Authorized Contact | RUBEN DOMINGUEZ Administrator 813-453-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10958) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |