| NPI | 1295836971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE E MARTINEZ Executive Director 813-884-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5227) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-06-27 |