| NPI | 1164722922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA R VIERA Administrator 813-300-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11755) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |