| NPI | 1326436692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA LEIGH MARTIN Office Manager And Assistant 813-704-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12460) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |