| NPI | 1386531655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERINE BLACK Manager 813-317-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 372600000X Adult Companion |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |