| NPI | 1154572246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANNE R WILSON Administrator 813-251-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9732) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |