| NPI | 1841611274 |
|---|---|
| Doing Business As | AMAZING GRACE ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | FLORENCE AKINTOLA Adminstrator 813-732-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |