| NPI | 1083124622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE EMMANUEL GOMEZ Alf Administrator 813-895-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL ALI3077) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |