NPI | 1174965040 |
---|---|
Entity Type | Organization |
Authorized Contact | IGOR MEINICHUK Alf Owner 727-498-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL 11367) |
Enumeration Date | 2013-07-21 |
Last Update Date | 2022-03-26 |