| NPI | 1699164228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S BENNETT President 813-632-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12507) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |