| NPI | 1477966745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO ALVAREZ BORREGO Administrator 813-720-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12505) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |