| NPI | 1861984544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A HERNANDEZ Administrator 813-203-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL13160) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |