| NPI | 1053751123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIUT IVON DE LA ROSA Owner/Administration 813-270-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11637) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |