| NPI | 1053698928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIPPE M RAYMOND Executive Director 863-464-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10203) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |