| NPI | 1790430874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA MOMENT Owner 813-244-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 177F00000X Lodging |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |