| NPI | 1790109403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MURPHY Administrator 813-737-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12305) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |