| NPI | 1295030237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVEL INFANTE Administrator 813-477-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al11704) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |