| NPI | 1700299385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRACEMA VALE DRYSDALE Owner 727-447-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9718) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |