| NPI | 1982119558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA M AUSSENDORF VP 813-598-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |