| NPI | 1679943302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILOU BACALAN Owner 727-366-4834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10437) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |