| NPI | 1770077851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIECER RODRIGUEZ-MORENO Owner 813-252-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL13187) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |