| NPI | 1881761369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA C TAGHAP Administrator 813-453-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9751) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |