| NPI | 1053428961 |
|---|---|
| Doing Business As | KOZY KORNER |
| Entity Type | Organization |
| Authorized Contact | MARTHA BOONE BLUMENAUER Owner/Administrator 386-677-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7714) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-01-06 |