| NPI | 1124881891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY RAE HOFEDITZ Executive Director/Administrator 813-571-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |