| NPI | 1053735514 |
|---|---|
| Doing Business As | HOUSE OF LIGHT SENIOR LIVING II |
| Entity Type | Organization |
| Authorized Contact | VIVIENE CORNETTA MOORE Administrator 321-806-7091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2022-11-23 |