| NPI | 1871926295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA M SALOMON Owner 813-476-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906469) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2015-05-19 |