NPI | 1386393122 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUSEGUN AYENI Chief Executive Officer (CEO) 813-909-5904 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2022-03-21 |
Last Update Date | 2022-03-21 |