| NPI | 1326368960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGOBERTO MEDINA Vicepresident 813-784-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11421) |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2013-08-28 |