| NPI | 1043645716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINE A COLLADO Provider 407-421-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906616) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |