| NPI | 1043675317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELIA MARYSE STROUD Administrator/Manager 407-745-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12703) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |