| NPI | 1801217914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA JOHNSON Administrator 727-585-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11915) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |