| NPI | 1689495871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAPANKUMAR PATEL Admin 727-504-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |