| NPI | 1629493994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA PIERCE JORDAN Adm 813-237-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al7616) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |