| 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 |