| NPI | 1992141972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX KUBIACZYK Owner/Administrator 941-486-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 8053) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |