| NPI | 1205180593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NUNEZ Administrator 813-401-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12064) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |