| NPI | 1114253754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEGUNDO LIZARDO Owner/Administrator 352-728-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL6001) |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2009-11-01 |