| NPI | 1801497243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTER BROUGHTON GRIFFIN Owner/Manager 813-285-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |