| NPI | 1053573360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE RIVERS ANDERSON Supervisor 407-522-4832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL10956) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |