| NPI | 1114449642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA ALUR Manager 813-571-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 9388) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-07-21 |