| NPI | 1982036125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VARDELEON GUNN Administrator 727-410-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11814) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |