NPI | 1760824528 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLENES I FONSECA Administrator 813-935-1710 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12334) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2013-07-22 |