| NPI | 1508062027 |
|---|---|
| Doing Business As | HIDDEN PALMS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM MANDO CFO 813-635-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8749) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |