| NPI | 1821486762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MUELLER Registered Agent 813-655-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 9582) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |