| NPI | 1386035533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON RAY SCOTT Vice President 813-412-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12347) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-11 |