| NPI | 1639499320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS VEGA President 813-412-9520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11402) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |