| NPI | 1396020921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A LOOMIS Administrator 813-891-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10368) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |