| NPI | 1376941708 |
|---|---|
| Doing Business As | AVA CARES IV |
| Entity Type | Organization |
| Authorized Contact | ROGER T DEROSA President 813-300-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL-12324) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |