| NPI | 1649613001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADIKA SIMS Owner 813-494-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906519) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |