| NPI | 1689052425 |
|---|---|
| Doing Business As | LACASA ALF |
| Entity Type | Organization |
| Authorized Contact | CANLOR GOMEZ Owner. 813-598-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |