NPI | 1033462197 |
---|---|
Entity Type | Organization |
Authorized Contact | CORALIE PRINCE Administrator 321-299-7687 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12241) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-25 |