| NPI | 1790048551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA M ZULUAGA Administrator 813-223-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10783) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |