| NPI | 1700209533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN ALEJANDRO TOLEDO Owner 813-877-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12443) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |