| NPI | 1194137372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS ANDERSON Owner/Director 727-202-8932 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 11520) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |