| NPI | 1225468200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLE LOPEZ Administrator 813-254-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL ALE0498) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |