| NPI | 1750727061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPLIDDIE HARRISON Provider 941-235-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906484) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |