| NPI | 1053747014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN THURMOND Administrator 772-342-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12153) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |