| NPI | 1295034205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRANKLIN MOYERS Administrator 813-443-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11672) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |