| NPI | 1568979466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE M CUBBERLEY Owner 727-385-8046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL13060) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |