| NPI | 1790229656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASSIEL REYNALDO President 813-775-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12923) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |