| NPI | 1467862276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD EUGENE VELASQUEZ Administrator 941-720-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8933) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |