| NPI | 1568479681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HURT Executive Director 813-310-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL08681) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |