| NPI | 1265848329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DOBAT Administrator/Executive Director 813-386-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 7531) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |