| NPI | 1861643041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MUKALEL Administrator 813-685-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7828) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |