| NPI | 1093135147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYSEL DIAZ Owner /Administrator 813-252-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12483) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2018-01-09 |