| NPI | 1477862639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIEVES MEDINA Administrator And Owner 813-728-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11880) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |