| NPI | 1003254053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADJI D WILLIAMS Administrator 321-622-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12360) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |