| NPI | 1447600663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHIT VIJAPURA President 813-966-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 11932639) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-06-19 |