| NPI | 1982017497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE CELESTINE JAMES Admistrator 813-778-2845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906678) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: FL 234669) |
| 372600000X Adult Companion (Licence: FL 234669) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2017-01-20 |