| NPI | 1740689553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE THOMAS Owner/Administrator 813-737-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8319) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |