| NPI | 1356851224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGEL GUIROLA Administrator 813-363-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 13073) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |