| NPI | 1053684779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA COLE Administrator 321-543-5911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 35197) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |