| NPI | 1699291070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE OCTAVIO OSORIO President 813-766-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12874) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |