| NPI | 1053593145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVELINO T GARCIA General Manager 813-918-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |