| NPI | 1710313119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY RAE ANDERSON Executive Director 727-585-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 7232) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |