| NPI | 1174691265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI KUMAR Administrator 727-637-1870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10648) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-04-27 |