| NPI | 1649631292 |
|---|---|
| Doing Business As | AVA CARES V |
| Entity Type | Organization |
| Authorized Contact | ROGER T DEROSA Owner 813-300-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL-11771) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |