| NPI | 1891112298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LAURA-WOOD Administrator 727-848-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL5630) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |