| NPI | 1669903704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO A VELAZQUEZ Owner 813-468-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12938) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |