| NPI | 1265784391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA JULIA MEDINA RODRIGUEZ Administrator 813-443-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12263) |
| Enumeration Date | 2012-10-13 |
| Last Update Date | 2012-10-13 |