| NPI | 1033837117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA MORRIS Administrator 352-301-6532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |