| NPI | 1649529637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBY L MARTIN Administrator 727-967-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9968) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |