| NPI | 1003315961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL VICENTE MEDINA Executive Director 407-331-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12826) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-06-11 |