| NPI | 1003357567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTLYN SALOME COLEMAN President 321-303-4907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |