| NPI | 1689090953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORISA GOMEZ CRUZ Owner 813-735-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11598) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |