| NPI | 1760017719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENIS M RETUERTO Owner 813-244-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |