| NPI | 1427473297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SPENCE Administrator 813-777-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11578) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |