| NPI | 1548604762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA CHACON CEO, President 813-748-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-05-21 |