| NPI | 1952540627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES Y. HOLMES Owner 813-231-7983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10103) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |