NPI | 1437332095 |
---|---|
Doing Business As | TANGERINE COVE OF BROOKSVILLE |
Entity Type | Organization |
Authorized Contact | PIER GASMENA President 863-688-1196 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL# 7622) |
Enumeration Date | 2007-12-06 |
Last Update Date | 2007-12-06 |