| NPI | 1972892800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE CRUMBLEY Administrator 813-295-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10506) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |