| NPI | 1629211099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ERVIN DAVIS Director 727-327-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251E00000X Home Health | |
| 347B00000X Bus | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-10-22 |