| NPI | 1093190522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S BENNETT Manager 813-545-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12268) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |