| NPI | 1689116139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA FELIX Administrator 813-407-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12909) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |