| NPI | 1013329754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN HODGE Administrator 941-484-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10200) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |