| NPI | 1114074226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA M JOHNSON Administrator 727-585-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9487) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-05-27 |