| NPI | 1023294899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAZON M. BAGSIYAO Administrator 407-433-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL9202) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |