| NPI | 1982037008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALDENE E FORDE Administrator 727-688-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL16) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |