| NPI | 1174868962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PENUELA Administrator 727-541-3967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8372) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2016-10-07 |