| NPI | 1831489632 |
|---|---|
| Doing Business As | SOUTHERN LIVE IN OF BRANDON |
| Entity Type | Organization |
| Authorized Contact | MELONIE BESSETTE President 813-655-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL al9890) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2023-03-22 |