| NPI | 1043698731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER W. PAULSBERG President/ CEO 239-307-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2016-03-09 |