| NPI | 1841667185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILYA JACKSON Owner 813-466-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906775) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |