| NPI | 1932722139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELSIE TUMAOB LABIOS Owner/Administrator 727-550-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |