| NPI | 1083055263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA C OSORIO President 941-993-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL CNA98215) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-08-19 |