| NPI | 1518171578 |
|---|---|
| Doing Business As | COUNTRYSIDE HAVEN ALF |
| Entity Type | Organization |
| Authorized Contact | CARIDAD O PE Administrator 727-786-8461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5305) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-07-14 |