| NPI | 1982028601 |
|---|---|
| Doing Business As | YETEY ALF,SPRINGSWATER ALF AND IMMANUEL AT YBOR ALF |
| Entity Type | Organization |
| Authorized Contact | ABIODUN ADEGBOLA Administrator 813-930-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL AL10480) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2020-04-17 |