| NPI | 1265204606 |
|---|---|
| Doing Business As | ST CLOUD HAVEN ALF 1 |
| Entity Type | Organization |
| Authorized Contact | TEJALBALA PATEL Manager 813-816-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |