NPI | 1942693395 |
---|---|
Doing Business As | AVA CARES II LLC |
Entity Type | Organization |
Authorized Contact | ROGER THOMAS DEROSA Administrator 813-300-6177 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12620) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2015-03-10 |