| NPI | 1760894406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA B. LATACZ Administrator 941-365-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10021) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |