| NPI | 1265137939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOMEKO GAINES Owner/Operator 727-743-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |