| NPI | 1295270031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORINDA MAYOL Administrator 813-455-6536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12914) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |