| NPI | 1831646751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL ORESTE FEITO Administrator 813-302-9534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL ALF12821) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |