| NPI | 1689114787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASRIEL LOPEZ Administrator 813-410-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11512) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |