| NPI | 1861800310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT BENNETT Officer 813-545-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10034) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |