| NPI | 1447870266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONDRIA N BOSTIC Administrator 727-550-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2022-11-23 |