| NPI | 1073946901 |
|---|---|
| Former Legal Business Name | NO |
| Entity Type | Organization |
| Authorized Contact | MARIA BENELDENA CHAMBERS Administrator 954-263-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12387) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |