| NPI | 1104028018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PIETRUSZKIEWICZ Administrator 727-786-8574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7973) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2020-08-22 |