| NPI | 1588964258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINET AVALO HERNANDEZ Owner 727-504-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10978) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |