| NPI | 1881028835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGLAY FUMERO Owner/Administrator 813-300-6726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12253) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |