| NPI | 1508134636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS CARRERA Owner/Administrator 813-405-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12101) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |