| NPI | 1770768426 |
|---|---|
| Doing Business As | TANGERINE COVE OF BROOKSVILLE |
| Entity Type | Organization |
| Authorized Contact | PIER GASMENA President 863-595-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL# 7622) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |