| NPI | 1215141924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS DE LA CRUZ Owner 813-471-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL5108) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-05-19 |