| NPI | 1891005443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOCORRO C LIWAG Administrator/Owner 727-442-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7176) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |