| NPI | 1154875953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRENIA BAEZ Administrator 813-965-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12778) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |