| NPI | 1316699234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYNELLE J FORDE President 727-564-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |