| NPI | 1407166697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DAVID Owner 813-988-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 299) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |