| NPI | 1437573011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD L STIGLEMAN Administrator 727-771-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11400) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |