| NPI | 1801291455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORISA GOMEZ CRUZ Administrator 813-393-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12340) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |