| NPI | 1780435560 |
|---|---|
| Doing Business As | FELYCIA'S HOME |
| Entity Type | Organization |
| Authorized Contact | WIDLYNE FLORISSANT Administrator/Owner 813-850-6663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |