NPI | 1821521204 |
---|---|
Doing Business As | ST CLOUD HAVEN II |
Entity Type | Organization |
Authorized Contact | ANITA MELISSA TURNER Administrator 813-841-5580 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12310) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-12-20 |