| NPI | 1275892564 |
|---|---|
| Doing Business As | DEBRA'S ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN WALLACE CEO 813-546-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |