| NPI | 1578992392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA PUTNAM Owner 727-521-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10248) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |