| NPI | 1124465190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSAURO B. BALDERAMA Administrator 727-596-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8285) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |