| NPI | 1578217964 |
|---|---|
| Doing Business As | MANIFESTATIONS ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | RENAE HEYWARD KENDRICK Administrator 813-900-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2022-02-05 |