NPI | 1699189225 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY O'SULLIVAN Administrator 727-800-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 21498) |
Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: FL 21498) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2014-06-11 |