| NPI | 1053518126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERSHING SUPEN DE LEON President 813-972-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL49) |
| Enumeration Date | 2007-07-01 |
| Last Update Date | 2011-04-05 |