NPI | 1023489044 |
---|---|
Entity Type | Organization |
Authorized Contact | ALTHEA C WILMOT Administrator 561-707-0133 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12739) |
Enumeration Date | 2015-10-16 |
Last Update Date | 2015-10-16 |