| NPI | 1982035937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEON PARKS Secretary 727-564-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10728) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |