| NPI | 1831508241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PARKS Administrator 727-564-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL6677) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |