| NPI | 1659673309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAN PENA President 813-270-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al11904) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |