| NPI | 1609161868 |
|---|---|
| Doing Business As | MIS ABUELOS ALF 2 |
| Entity Type | Organization |
| Authorized Contact | DAGOBERTO MEDINA Manager 813-784-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12080) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2018-06-20 |