| NPI | 1881023547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S BENNETT Manager 813-545-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12268) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |