| NPI | 1801154604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHALENE SAMS KINSLER Administrator 813-685-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12127) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |