| NPI | 1548684939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN K GRANADOS Mbr/Bgr 727-798-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8358) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |