| NPI | 1114334620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISANDRA HERNANDEZ HERNANDEZ Administrator 813-270-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL Al11339) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2016-12-15 |