NPI | 1851769830 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT SCOTT BENNETT COO 813-545-0682 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12688) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |