| NPI | 1518036300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEYON L WILLIAMS Owner Operator Administrator 727-768-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |