| NPI | 1730432980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY C. MACKIN Administrator 727-587-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7888) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: FL AL7261) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2014-07-21 |