| NPI | 1043634447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS LUCAS Administrator 352-502-8427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12452) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |