| NPI | 1063950087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA LIDIA MOLANO Administrator 813-495-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12964) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |