| NPI | 1619359031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE BOSTON Administrator 813-237-5792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8616AL) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |