| NPI | 1972807907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENID FLEITAS President 813-885-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11676) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |