| NPI | 1851732788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA M TORRES Administrator 813-876-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8637) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-05-18 |