| NPI | 1518298082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSMANY CUELLAR Owner Administrator 813-300-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL-11416) |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2010-01-23 |