| NPI | 1255703179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIANA LOZADA Administrator 813-317-9550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12745) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |