| NPI | 1043878473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIGAYA GATCHALIAN-VALEROS Administrator 352-217-6708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |