NPI | 1235562190 |
---|---|
Doing Business As | SWEET WATER AT LARGO |
Entity Type | Organization |
Authorized Contact | KORY KAE STOECKLE Administrator 813-389-1045 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL-8175) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2013-08-14 |