| NPI | 1104517465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL PARCENUE HOLMES Partner/ Operator 727-492-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |