| NPI | 1053528695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARY CLARK Administrator 863-853-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL8544) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |