| NPI | 1659523157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LAGUNA Administrator 813-431-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL pending) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |