| NPI | 1861284390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELLE JOAS Owner 813-999-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |