| NPI | 1770016701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD E BRIDGES Owner 727-434-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |