| NPI | 1235438409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNABELLE BACANTO CANLAS Administrator 813-933-9845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL4653) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2011-03-26 |