| NPI | 1134420243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILFRED JOSEPH President/Administrator 813-374-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 11504) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL 11504) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |