| NPI | 1184965097 |
|---|---|
| Doing Business As | PEMBROOK PLACE |
| Entity Type | Organization |
| Authorized Contact | COLLIN B MULDER Administrator/Owner 727-536-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |