| NPI | 1760479901 |
|---|---|
| Doing Business As | ST. JOSEPH'S JOHN KNOX VILLAGE |
| Entity Type | Organization |
| Authorized Contact | LISA VICARIO LYONS Executive Director 813-632-2391 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL4110) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL SNF1260095) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2014-11-07 |