| NPI | 1275023012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER THOMAS DEROSA President 813-300-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL-11841) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |