| NPI | 1295269199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN ROSE Administrator 727-738-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 6052) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |