| NPI | 1669993499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAINES PERDOMO Owner/Administrator 813-449-3877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL13116) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2018-03-13 |