| NPI | 1083051031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE CELETA MIHALOW Administrator 772-224-6091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL a11948) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |