| NPI | 1467726091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PROSPER K BONUEDIE Administrator 727-726-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 11968190) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |