NPI | 1104240209 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE THERESA BOLANDER Administrator 727-347-2979 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 7642) |
Enumeration Date | 2014-02-10 |
Last Update Date | 2014-02-10 |