| NPI | 1588715056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE LUE MANESCALA Vice President 813-253-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL6044) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-08-15 |