| NPI | 1033577978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTELLA DORVAL Administrator 772-207-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12786) |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2016-02-07 |