NPI | 1780135640 |
---|---|
Entity Type | Organization |
Authorized Contact | LEYSEL DIAZ Owner/Administrator 813-506-3211 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12584) |
Enumeration Date | 2016-10-16 |
Last Update Date | 2016-10-16 |