| NPI | 1770977092 |
|---|---|
| Other Name | ANGELSTCH |
| Entity Type | Organization |
| Authorized Contact | CLIFF SCOTT Vice President 813-412-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12625) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |