| NPI | 1083072789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE E. SIMEON Owner 813-445-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906802) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |