| NPI | 1366601759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT BENNETT Administrator 813-961-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 6694) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |