| NPI | 1386767655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUEL F DE LA ROSA President 813-872-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9083) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |