NPI | 1992904114 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN DAVID COLE Administrator 727-230-9637 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL 5606) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2007-07-17 |