| NPI | 1003259185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENA POWELL Administrator 954-934-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10899) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |