| NPI | 1881031417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDISON NELSON Owner 727-623-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906576) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |