| NPI | 1922380385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE GONZALEZ Administrator 813-486-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11705) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |