| NPI | 1801202130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA M VILLANUEVA CEO/Administrator 813-270-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11889) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2022-07-01 |