NPI | 1285075986 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS JUAN MAZARIEGOS Administrator 727-823-1625 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: FL 11357) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2013-07-10 |