| NPI | 1528417391 |
|---|---|
| Doing Business As | TRUDIE'S HAVEN |
| Entity Type | Organization |
| Authorized Contact | CHERRY HALLBACK Administrator 813-650-8242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL12847) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL AL12847) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2020-01-09 |