| NPI | 1063672715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA F HEISTAND Administrator 352-365-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL7389) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |