| NPI | 1053728345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DAVIS Administrator 772-626-9589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12400) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |