| NPI | 1598905747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LONETTE MCZELL Administrator 813-377-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL11405) |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2009-03-01 |