| NPI | 1952550915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESMERALDA MANUKONDA Administrator 727-321-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL AL5408) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |