| NPI | 1891060729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND B RICHARDS Administrator 727-940-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12109) |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2012-03-10 |